Katie Benjegerdes Homan
Dermatologist
302 University Blvd
Round Rock
, Texas 78665-1032
Katie Benjegerdes Homan
Dermatologist
302 University Blvd
Round Rock
, Texas 78665-1032
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About
Features
Specialties
- Dermatologist
Languages spoken
- English
Location
First Address
- Katie Benjegerdes Homan
- Po Box 844658
- Dallas, TX
- Zip : 75284-4658
- Phone :
Second Address
- Katie Benjegerdes Homan
- 302 University Blvd
- Round Rock, TX
- Zip : 78665-1032
- Phone : (512) 509-0200
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207N00000X | Dermatologist | T1963 | TX |
National Provider Identifier
| NPI | 1033643564 |
|---|---|
| Provider Name | Katie Benjegerdes Homan |
| First Address | Dallas, TX 75284-4658 |
| Second Address | Round Rock, TX 78665-1032 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/04/2017 |
| Last Update Date | 08/09/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.