Healthcare Provider Details

I. General information

NPI: 1043369192
Provider Name (Legal Business Name): KAREN ANN WORKMAN NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/09/2007
Last Update Date: 07/26/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1411 N BECKLEY AVE STE 152
DALLAS TX
75203-1586
US

IV. Provider business mailing address

1411 N BECKLEY AVE STE 152
DALLAS TX
75203-1586
US

V. Phone/Fax

Practice location:
  • Phone: 214-948-7700
  • Fax: 214-948-7701
Mailing address:
  • Phone: 214-948-7700
  • Fax: 214-948-7701

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number587928
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: