Provider Demographics
NPI:1053623553
Name:PAZ, KATHLEEN GRACE (MD)
Entity type:Individual
Prefix:
First Name:KATHLEEN
Middle Name:GRACE
Last Name:PAZ
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Gender:
Credentials:MD
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Mailing Address - Street 1:17189 INTERSTATE 45 S
Mailing Address - Street 2:MEDICAL OFFICE BUILDING 2, SUITE 105
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77385
Mailing Address - Country:US
Mailing Address - Phone:936-270-4971
Mailing Address - Fax:936-270-4972
Practice Address - Street 1:17189 INTERSTATE 45 S
Practice Address - Street 2:MEDICAL OFFICE BUILDING 2, SUITE 105
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77385
Practice Address - Country:US
Practice Address - Phone:936-270-4971
Practice Address - Fax:936-270-4972
Is Sole Proprietor?:No
Enumeration Date:2010-07-13
Last Update Date:2025-02-21
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Provider Licenses
StateLicense IDTaxonomies
TXP4366207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX306294YNJVMedicare PIN