Provider Demographics
NPI:1972948883
Name:JOSE, KATHERINE MAE POQUIZ (DO, MBA)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:MAE POQUIZ
Last Name:JOSE
Suffix:
Gender:F
Credentials:DO, MBA
Other - Prefix:
Other - First Name:KATHERINE
Other - Middle Name:MAE SALABSAB
Other - Last Name:POQUIZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5220 W UNIVERSITY DR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75071-7064
Mailing Address - Country:US
Mailing Address - Phone:469-800-5100
Mailing Address - Fax:469-800-5110
Practice Address - Street 1:5220 W UNIVERSITY DR
Practice Address - Street 2:SUITE 100
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75071-7064
Practice Address - Country:US
Practice Address - Phone:469-800-5100
Practice Address - Fax:469-800-5110
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-06
Last Update Date:2022-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ4997207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine