Individual provider · Type 1 NPI

Kathryn Mariel Breithaupt

Physician Assistant · Flower Mound, TX

NPI number 1063280600 Active

Practice location

3051 Churchill Dr Ste 100
Flower Mound, TX 75022-5900

Fax (214) 556-9030

Specialties and licenses

Taxonomy	Code	License
Physician Assistant Primary	363A00000X	None listed
Student in an Organized Health Care Education/Training Program	390200000X	None listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1063280600

Kathryn Mariel Breithaupt's National Provider Identifier is 1063280600, issued on Dec 13, 2023. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Flower Mound, TX. The record was last updated on Aug 14, 2026.