Provider Demographics
NPI:1164765657
Name:DILLARD, KARRI A (CSA)
Entity Type:Individual
Prefix:
First Name:KARRI
Middle Name:A
Last Name:DILLARD
Suffix:
Gender:F
Credentials:CSA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6400 FANNIN ST STE 2290
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-1543
Mailing Address - Country:US
Mailing Address - Phone:713-791-0700
Mailing Address - Fax:713-791-0703
Practice Address - Street 1:6400 FANNIN ST STE 2290
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-1543
Practice Address - Country:US
Practice Address - Phone:713-791-0700
Practice Address - Fax:713-791-0703
Is Sole Proprietor?:No
Enumeration Date:2013-04-03
Last Update Date:2013-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX4087246ZC0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant