Provider Demographics
NPI:1063119162
Name:WRIGHT, KATHERINE ANN (PA-S)
Entity type:Individual
Prefix:MRS
First Name:KATHERINE
Middle Name:ANN
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:PA-S
Other - Prefix:
Other - First Name:KATHERINE
Other - Middle Name:ANN
Other - Last Name:BIEBIGHAUSER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3700 N EDWARDS ST APT 635
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:TX
Mailing Address - Zip Code:79705-2712
Mailing Address - Country:US
Mailing Address - Phone:817-908-1436
Mailing Address - Fax:
Practice Address - Street 1:3700 N EDWARDS ST APT 635
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:TX
Practice Address - Zip Code:79705-2712
Practice Address - Country:US
Practice Address - Phone:817-908-1436
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-09
Last Update Date:2024-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant