| Kimberly Richter | |
|
22310 Grand Corner Dr Katy TX 77494-5716 | |
| (281) 900-4374 | |
| Not Available |
| Full Name | Kimberly Richter |
|---|---|
| Speciality | Counselor - Professional |
| Location | 22310 Grand Corner Dr, Katy, Texas |
| Authorized Official Name and Position | Kimberly Richter (OWNER) |
| Authorized Official Contact | 2819004374 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberly Richter 25118 Southbriar Ln Katy TX 77494-5578 Ph: (281) 900-4374 | Kimberly Richter 22310 Grand Corner Dr Katy TX 77494-5716 Ph: (281) 900-4374 |
| NPI Number | 1104289214 |
|---|---|
| Provider Enumeration Date | 04/05/2016 |
| Last Update Date | 04/05/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104289214 | NPI | - | NPPES |
| 208574804 | Medicaid | TX | |
| 1548590078 | Other | INDIVIDUAL NPE | |
| 208574802 | Medicaid | TX | |
| 1487068706 | Other | GROUP NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 65608 (Texas) | Primary |
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