Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | MT196919 | PA |
N | 111NI0900X | Internist | MT196919 | PA |
N | 207RE0101X | Endocrinologist (Diabetes Doctor) | MD454475 | PA |
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | Q7883 | TX |
NPI | 1053638189 |
---|---|
Provider Name | Dr. Katie Bates Guttenberg |
First Address | Houston, TX 77030-1501 |
Second Address | Houston, TX 77030-5206 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/04/2010 |
Last Update Date | 08/08/2016 |