Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LA2100X | Nurse Practitioner - Acute Care | AP136625 | TX |
Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | AP136625 | TX |
NPI | 1063912764 |
---|---|
Provider Name | Ms. Katrina Reyes Zahorik |
First Address | Dickinson, TX 77539-4052 |
Second Address | Dickinson, TX 77539-4052 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/02/2018 |
Last Update Date | 24/08/2021 |