IndividualActive
Kathryn Ives, PA-C
NPI 1053876151 · Physician Assistant · Garland, TX
Provider details
- NPI number
- 1053876151
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- PA12404 (TX)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
7217 Telecom Pkwy Ste 100
Garland, TX 75044-2203
Phone: (469) 800-2100
Approximate (ZIP-level) locationGet directions
Mailing address
4001 Ross Ave Apt 223
Dallas, TX 75204-5206
Registry dates
- Enumerated
- 2019-02-04
- Last updated
- 2022-11-08
- Certified
- 2022-11-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.