Provider Demographics
NPI:1992091805
Name:GARVEY, KATHERINE YOON MEE (MD)
Entity type:Individual
Prefix:DR
First Name:KATHERINE
Middle Name:YOON MEE
Last Name:GARVEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:KATHERINE
Other - Middle Name:YOON MEE
Other - Last Name:LEE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:7217 TELECOM PKWY STE 290
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75044-2203
Mailing Address - Country:US
Mailing Address - Phone:214-232-9911
Mailing Address - Fax:
Practice Address - Street 1:7217 TELECOM PKWY STE 290
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75044-2203
Practice Address - Country:US
Practice Address - Phone:214-232-9911
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-20
Last Update Date:2024-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01075421A207V00000X
CAA122618207V00000X
TXV0400207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN201306460Medicaid
IN201306460Medicaid