MS. KATHRYN A MINOR PAC NPI 1356427934

NPI Information

NPI: 1356427934
Provider Name: MS. KATHRYN A MINOR, PAC
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

PECOS Registration: Yes

Address:
7777 FOREST LN STE D400
SUITE 301
DALLAS, TX
ZIP 75230
Phone: (972) 566-7790
Get Directions

MS. Kathryn A Minor, PAC is a surgical physician assistant in Dallas, TX with 38 years of experience. MS. Kathryn A Minor, PAC NPI is 1356427934. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

7777 FOREST LN STE D400
SUITE 301
DALLAS, TX
ZIP 75230-899
Phone: (972) 566-7790
Fax: (972) 566-5819

The NPI 1356427934 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/27/2006 and was last updated on 8/25/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AS0400X	Physician Assistant	Surgical	PA06362	TEXAS	Yes
2	363AS0400X	Physician Assistant	Surgical	PA12217	CALIFORNIA	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	P01932457	OTHER	TEXAS	RAILROAD
2	PA12217	MEDICAID	CALIFORNIA
3	345574302	MEDICAID	TEXAS
4	345574303	MEDICAID	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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