Healthcare Provider Details

I. General information

NPI: 1356526404
Provider Name (Legal Business Name): KARINA TOA CANADAS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/08/2008
Last Update Date: 05/27/2025
Certification Date: 05/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2123 JUDIWAY ST
HOUSTON TX
77018-5834
US

IV. Provider business mailing address

2123 JUDIWAY ST
HOUSTON TX
77018-5834
US

V. Phone/Fax

Practice location:
  • Phone: 832-477-2234
  • Fax: 619-326-3901
Mailing address:
  • Phone: 832-477-2234
  • Fax: 619-326-3901

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207YP0228X
TaxonomyPediatric Otolaryngology Physician
License NumberP7747
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code207YX0602X
TaxonomyOtolaryngic Allergy Physician
License NumberP7747
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License NumberP7747
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: