MEDICARE: KARLA ISABELLE JASEK

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	41959	TX

General Provider Information

NPI Number	:	1114616877
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KARLA ISABELLE JASEK

Provider Business Mailing Address
First Line	:	3918 KARRYWOOD CT
Second Line	:
City	:	PEARLAND
State	:	TX
Zip	:	77584-5925
Country	:	US
Telephone Number	:	281-687-2611
Fax Number	:

Provider Business Practice Location Address
First Line	:	1503 LITTLE YORK RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77093-3223
Country	:	US
Telephone Number	:	281-500-7858
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/08/2023
Last Update Date	:	09/02/2025

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