MEDICARE: KAREN M. ASH LSA

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	246ZC0007X	Surgical Assistant	SA00396	TX

General Provider Information

NPI Number	:	1285823880
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAREN M. ASH LSA

Provider Business Mailing Address
First Line	:	3509 BREWSTER DR
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75025-4445
Country	:	US
Telephone Number	:	972-712-5465
Fax Number	:	866-397-4767

Provider Business Practice Location Address
First Line	:	3509 BREWSTER DR
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75025-4445
Country	:	US
Telephone Number	:	214-780-6562
Fax Number	:	866-397-4767

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

Provider Enumeration Date	:	10/18/2007
Last Update Date	:	10/24/2017

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