Provider Demographics
NPI:1104325620
Name:HO, KATIE LAM (APRN)
Entity type:Individual
Prefix:MRS
First Name:KATIE
Middle Name:LAM
Last Name:HO
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4001 W 15TH ST STE 290
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-5844
Mailing Address - Country:US
Mailing Address - Phone:469-443-0924
Mailing Address - Fax:469-443-0942
Practice Address - Street 1:4001 W 15TH ST STE 290
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-5844
Practice Address - Country:US
Practice Address - Phone:469-443-0924
Practice Address - Fax:469-443-0942
Is Sole Proprietor?:No
Enumeration Date:2018-02-10
Last Update Date:2018-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP135496363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner