Tablizo, Kathryn Rose

Tablizo, Kathryn Rose is an individual health care provider with primary practice located at 3851 Roger Brooke Dr Mche-Qd (Credentials), Fort Sam Houston TX 78234. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Tablizo, Kathryn Rose can be contacted via phone (210) 916-1222.

Contact Information

Primary practice address
3851 Roger Brooke Dr Mche-Qd (Credentials) Fort Sam Houston TX 78234
Phone: (210) 916-1222
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 644585 Texas
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X AP108879 Texas

Profile Details

NPI number 1215918370
LBN Legal business name Tablizo, Kathryn Rose
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2005
Last updated Aug 13th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215918370 NPPES
Texas MEDICAID 002179206
Texas Other 002179207

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