Most Relevant Information
Provider Data
| NPI Number: | 1003041484 |
| Provider Name: | KATHERINE ALISON SIDES MD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: | 157074 |
Most Important Dates
| Enumeration Date: | 05/28/2009 |
| Last Updated: | 03/05/2019 |
Provider Practice Location
1301 WONDER WORLD DR
CENTRAL TEXAS MEDICAL CENTER
SAN MARCOS
TX
786667533
Practice Location Phone/Fax
| Phone: | 5123538979 |
| Fax: | 5127533698 |
Provider Mailing Location
2105 GOODRICH AVE APT 6
AUSTIN
TX
787044087
Provider Mailing Phone/Fax
| Phone: | 2178406585 |
| Fax: |