Most Relevant Information
Provider Data
| NPI Number: | 1003563651 |
| Provider Name: | HALEY KATHRYN BORTHWICK PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363AM0700X |
| Specialty: | Physician Assistant |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/03/2022 |
| Last Updated: | 03/03/2022 |
Provider Practice Location
209 OLD HIGHWAY 1187
BURLESON
TX
760280281
Practice Location Phone/Fax
| Phone: | 8173381300 |
| Fax: |
Provider Mailing Location
315 W MAGNOLIA AVE APT 319
FORT WORTH
TX
761047693
Provider Mailing Phone/Fax
| Phone: | 5129341499 |
| Fax: |