Shadle, Kathleen

Shadle, Kathleen is an individual health care provider with primary practice located at 6565 Fannin St Suite Ax121B, Houston TX 77030-2703. She recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as her primary health care specialty. Shadle, Kathleen can be contacted via phone (713) 441-4800.

Contact Information

Primary practice address
6565 Fannin St Suite Ax121B Houston TX 77030-2703
Phone: (713) 441-4800
Fax: (713) 793-1300
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X J1038 Texas

Profile Details

NPI number 1881686343
LBN Legal business name Shadle, Kathleen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2005
Last updated Jul 8th, 2016 - about 10 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881686343 NPPES
Texas Other 129641008 MEDICAID CSHCN
Texas MEDICAID 129641010 MEDICAID CSHCN
Texas Other P00747796 MEDICAID CSHCN
Texas MEDICAID 129641007 MEDICAID CSHCN
Texas MEDICAID 129641009 MEDICAID CSHCN
Texas Other 8BN489 MEDICAID CSHCN
Texas MEDICAID 129641001 MEDICAID CSHCN
Texas Other 85471R MEDICAID CSHCN
Texas Other 8FU326 MEDICAID CSHCN
Texas MEDICAID 129641006 MEDICAID CSHCN

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