Provider Demographics
NPI:1386690568
Name:KARSKY, ANGELA R (PA)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:R
Last Name:KARSKY
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:310 W OAKLAWN RD
Mailing Address - Street 2:
Mailing Address - City:PLEASANTON
Mailing Address - State:TX
Mailing Address - Zip Code:78064-4033
Mailing Address - Country:US
Mailing Address - Phone:830-569-8940
Mailing Address - Fax:860-569-8320
Practice Address - Street 1:203 HACKBERRY ST
Practice Address - Street 2:
Practice Address - City:TILDEN
Practice Address - State:TX
Practice Address - Zip Code:78072
Practice Address - Country:US
Practice Address - Phone:361-274-3690
Practice Address - Fax:361-274-3760
Is Sole Proprietor?:No
Enumeration Date:2006-05-26
Last Update Date:2020-09-04
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXPA08094OtherLICENSE
TX345069YWNGMedicare UPIN
SD6821673Medicaid
SDS101179Medicare PIN