Provider Demographics
NPI:1861729147
Name:VO, KATIE
Entity type:Individual
Prefix:
First Name:KATIE
Middle Name:
Last Name:VO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6601 VAUGHT RANCH RD STE 200
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78730-2309
Mailing Address - Country:US
Mailing Address - Phone:972-712-3131
Mailing Address - Fax:
Practice Address - Street 1:9191 KYSER WAY BLDG 3
Practice Address - Street 2:SUITE B
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-1953
Practice Address - Country:US
Practice Address - Phone:972-712-3131
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-08
Last Update Date:2021-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant