MEDICARE: KAREN L RAKERS MD

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	207Q00000X	Family Medicine Physician	036112222	IL
2	207Q00000X	Family Medicine Physician	M4461	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1609800358
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAREN L RAKERS MD

Provider Business Mailing Address
First Line	:	5718 WESTHEIMER RD STE 1800
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77057-5773
Country	:	US
Telephone Number	:	314-610-0829
Fax Number	:	281-895-3083

Provider Business Practice Location Address
First Line	:	5749 SAN FELIPE ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77057-3101
Country	:	US
Telephone Number	:	832-957-6200
Fax Number	:	281-895-3083

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

Provider Enumeration Date	:	07/10/2006
Last Update Date	:	01/16/2024

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