Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | S0691 | TX |
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | S0691 | TX |
NPI | 1346777356 |
---|---|
Provider Name | Katherine Elizabeth Horton Altahif |
First Address | Dallas, TX 75284-8491 |
Second Address | Waco, TX 76712-8897 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/05/2017 |
Last Update Date | 24/01/2022 |