Basic Information
| Provider Information | |||||||||
| NPI: | 1043369192 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | WORKMAN | ||||||||
| FirstName: | KAREN | ||||||||
| MiddleName: | ANN | ||||||||
| NamePrefix: | MRS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | NP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1411 N BECKLEY AVE | ||||||||
| Address2: | STE 152 | ||||||||
| City: | DALLAS | ||||||||
| State: | TX | ||||||||
| PostalCode: | 752031586 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2149487700 | ||||||||
| FaxNumber: | 2149487701 | ||||||||
| Practice Location | |||||||||
| Address1: | 1411 N BECKLEY AVE | ||||||||
| Address2: | STE 152 | ||||||||
| City: | DALLAS | ||||||||
| State: | TX | ||||||||
| PostalCode: | 752031586 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2149487700 | ||||||||
| FaxNumber: | 2149487701 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/09/2007 | ||||||||
| LastUpdateDate: | 07/26/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | 587928 | TX | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
ID Information
| ID | Type | State | Issuer | Description | 587928 | 01 | TX | NURSING STATE LISCENSE # | OTHER |