Individual provider · Type 1 NPI

Katie Colleen Pedicord, PA

Medical Physician Assistant · Dallas, TX

NPI number 1659489920 Active

Practice location

8230 Walnut Hill Ln, Suite 808
Dallas, TX 75231-4482

Fax (214) 696-1444

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA04430 (TX)
Surgical Physician Assistant 363AS0400XPA04430 (TX)

Medical Physician Assistant: Definition to come...

75 other providers at this address

Other medical physician assistant providers in Dallas

See all in Dallas →

About NPI 1659489920

Katie Colleen Pedicord, PA's National Provider Identifier is 1659489920, issued on Aug 28, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Dallas, TX. The record was last updated on Aug 27, 2024.