Basic Information
| Provider Information | |||||||||
| NPI: | 1609596832 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | WIATREK | ||||||||
| FirstName: | KARAH | ||||||||
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| Credential: | FNP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 310 W OAKLAWN RD | ||||||||
| Address2: | |||||||||
| City: | PLEASANTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 780644033 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8305698940 | ||||||||
| FaxNumber: | 8302246905 | ||||||||
| Practice Location | |||||||||
| Address1: | 757 S PANNA MARIA AVE | ||||||||
| Address2: | |||||||||
| City: | KARNES CITY | ||||||||
| State: | TX | ||||||||
| PostalCode: | 781183808 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8307803100 | ||||||||
| FaxNumber: | 8307803130 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/29/2022 | ||||||||
| LastUpdateDate: | 08/29/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 08/29/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | 1089139 | TX | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No ID Information.