Provider Demographics
NPI:1265762314
Name:MRAZ, KATHRYN ANN (MS, CGC)
Entity type:Individual
Prefix:MS
First Name:KATHRYN
Middle Name:ANN
Last Name:MRAZ
Suffix:
Gender:F
Credentials:MS, CGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6410 FANNIN, STE 722
Mailing Address - Street 2:UT HEALTH
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030
Mailing Address - Country:US
Mailing Address - Phone:832-325-7206
Mailing Address - Fax:713-512-7140
Practice Address - Street 1:6400 FANNIN, STE 2900
Practice Address - Street 2:UT MEMORIAL HERMANN CANCER CENTER
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030
Practice Address - Country:US
Practice Address - Phone:713-704-3961
Practice Address - Fax:713-512-7140
Is Sole Proprietor?:No
Enumeration Date:2010-01-12
Last Update Date:2015-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
170300000X
CAGC000524170300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS