Kathleen Eva Wahl, PA-C
Physician Assistant in Dallas, TX. Individual provider (NPI-1).
NPI number1154190817
StatusActive
Last updated in NPPESMar 11, 2025
Details
- NPI
- 1154190817
- Entity type
- Individual (NPI-1)
- Name
- Kathleen Eva Wahl
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 21, 2023
- Certification date
- Mar 11, 2025
- Last updated
- Mar 11, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA18667 | TX | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
1935 Medical District DrDallas, TX 75235-7701
Phone 214-456-7000
Mailing address
3717 Cole Ave Apt 300Dallas, TX 75204-4532
Phone 615-478-3555
Other practice locations
825 Fairfax Ave
Norfolk, VA 23507-1912
Norfolk, VA 23507-1912
Phone 757-446-5600
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