Provider Demographics
NPI:1285823880
Name:ASH, KAREN M (LSA)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:M
Last Name:ASH
Suffix:
Gender:F
Credentials:LSA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3509 BREWSTER DR
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75025-4445
Mailing Address - Country:US
Mailing Address - Phone:972-712-5465
Mailing Address - Fax:866-397-4767
Practice Address - Street 1:3509 BREWSTER DR
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75025-4445
Practice Address - Country:US
Practice Address - Phone:214-780-6562
Practice Address - Fax:866-397-4767
Is Sole Proprietor?:No
Enumeration Date:2007-10-18
Last Update Date:2017-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXSA00396246ZC0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant