Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | G2836 | TX |
NPI | 1053414540 |
---|---|
Provider Name | Kathleen Kay Sears |
First Address | Lubbock, TX 79410-1333 |
Second Address | Lubbock, TX 79410 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/09/2006 |
Last Update Date | 27/03/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
036185901 | (05) | TX |
036185902 | (05) | TX |
A58086488 | DEA (01) |