Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | 1875 | TX |
N | 222Z00000X | Podiatrist | 1875 | TX |
Y | 224P00000X | Prosthetist | 1875 | TX |
NPI | 1407370414 |
---|---|
Provider Name | Katelyn Suzanne Cummings |
First Address | Spring, TX 77386-2388 |
Second Address | Spring, TX 77386-2388 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/08/2017 |
Last Update Date | 21/10/2020 |