Black, Kathleen R
Black, Kathleen R is an sole proprietor health care provider with primary practice located at 1415 California St , Houston TX 77006-2602. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Black, Kathleen R can be contacted via phone (832) 548-5000.Contact Information
Primary practice address
1415 California St
Houston TX 77006-2602
Phone: (832) 548-5000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 19090 | Texas |
Profile Details
| NPI number | 1558379651 |
|---|---|
| LBN Legal business name | Black, Kathleen R |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 4th, 2006 |
| Last updated | Feb 5th, 2018 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558379651 | NPPES |
| Texas | Other | 20-2421646 | TAX ID # |
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