Basic Information
| Provider Information | |||||||||
| NPI: | 1811448830 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | THOMPSON | ||||||||
| FirstName: | KAREN | ||||||||
| MiddleName: | EAST | ||||||||
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| Credential: | FNP-C, ENP-C | ||||||||
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| OtherLastName: | EAST | ||||||||
| OtherFirstName: | KAREN | ||||||||
| OtherMiddleName: | ELIZABETH | ||||||||
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| OtherLastNameType: | 1 | ||||||||
| Mailing Information | |||||||||
| Address1: | 11015 TULIP GARDEN CT | ||||||||
| Address2: | |||||||||
| City: | HOUSTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 770653317 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2819001528 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 3315 S ALAMEDA ST | ||||||||
| Address2: | |||||||||
| City: | CORPUS CHRISTI | ||||||||
| State: | TX | ||||||||
| PostalCode: | 784111820 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7138972525 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/14/2016 | ||||||||
| LastUpdateDate: | 04/10/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363L00000X | AP131370 | TX | N | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | 363LF0000X | AP131370 | TX | N | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family | 207P00000X | AP131370 | TX | Y | Allopathic & Osteopathic Physicians | Emergency Medicine |
No ID Information.