Individual provider · NPI-1

Kathleen Erwin, PA

Physician Assistant · Coppell, TX

NPI number1003062639
StatusActive
Last updated in NPPESNov 8, 2011

Details

NPI
1003062639
Entity type
Individual (NPI-1)
Name
Kathleen Erwin
Credential
PA
Sex
Female
Sole proprietor
No
Enumeration date
Aug 14, 2008
Last updated
Nov 8, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician AssistantPA01767TXYes

Practice location

878 S Denton Tap Rd Ste 250
Coppell, TX 75019-4565

Phone 972-745-6590 · Fax 972-745-6595

Mailing address

878 S Denton Tap Rd Ste 250
Coppell, TX 75019-4565

Phone 972-745-6590 · Fax 972-745-6595

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