Kathryn Mariel Breithaupt

NPI #1063280600 in Richardson, Texas

Provider Information

NPI Number: 1063280600
Entity Type: Individual
Name: Kathryn Mariel Breithaupt
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Enumeration Date: Dec 13, 2023
Last Updated: Dec 13, 2023

Practice Location

Address: 2323 N CENTRAL EXPY
City: Richardson
State: Texas
ZIP Code: 75080-2712
Phone: (214) 453-4533

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Physician Assistant	363A00000X	Primary

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