Provider Demographics
NPI:1417078742
Name:POWELL, KAREN
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:POWELL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1921 WHITEDOVE DR
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75224-4811
Mailing Address - Country:US
Mailing Address - Phone:214-607-4000
Mailing Address - Fax:214-607-4044
Practice Address - Street 1:7600 LAKEVIEW PKWY
Practice Address - Street 2:#100
Practice Address - City:ROWLETT
Practice Address - State:TX
Practice Address - Zip Code:75088-4355
Practice Address - Country:US
Practice Address - Phone:214-607-4000
Practice Address - Fax:214-607-4044
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-03
Last Update Date:2007-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX527662279P1005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2279P1005XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredPulmonary Rehabilitation