Katherine Alexis Banner
Student in an Organized Health Care Education/Training Program in Houston, TX. Individual provider (NPI-1).
NPI number1194475111
StatusActive
Last updated in NPPESMar 25, 2022
Details
- NPI
- 1194475111
- Entity type
- Individual (NPI-1)
- Name
- Katherine Alexis Banner
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 24, 2022
- Certification date
- Mar 25, 2022
- Last updated
- Mar 25, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
6414 Fannin St Ste G150Houston, TX 77030-1514
Phone 713-486-7560
Mailing address
6414 Fannin St Ste G150Houston, TX 77030-1514
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