Provider Demographics
NPI:1255314266
Name:AUSTIN, KAREN (DC)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:
Last Name:AUSTIN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 7817
Mailing Address - Street 2:
Mailing Address - City:TYLER
Mailing Address - State:TX
Mailing Address - Zip Code:75711-7817
Mailing Address - Country:US
Mailing Address - Phone:903-502-0407
Mailing Address - Fax:
Practice Address - Street 1:211 W SOUTH ST
Practice Address - Street 2:
Practice Address - City:LINDALE
Practice Address - State:TX
Practice Address - Zip Code:75771-3520
Practice Address - Country:US
Practice Address - Phone:903-502-0407
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-11-23
Last Update Date:2019-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDC9667111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX166998801Medicaid
TXU99942Medicare UPIN