Healthcare Provider Details

I. General information

NPI: 1033137500
Provider Name (Legal Business Name): KAREN LOUISE IBARGUEN D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/17/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3610 N JOSEY LN # 1 130
CARROLLTON TX
75007-3100
US

IV. Provider business mailing address

100 SWISHER RD
SHADY SHORES TX
76208-5714
US

V. Phone/Fax

Practice location:
  • Phone: 940-382-6000
  • Fax: 940-497-5484
Mailing address:
  • Phone: 940-382-6000
  • Fax: 940-497-5484

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NN0400X
TaxonomyNeurology Chiropractor
License Number8255
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: