Provider Demographics
NPI:1538285960
Name:JAGASSAR-SOOKLAL, KAREN CINDY (PA)
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:CINDY
Last Name:JAGASSAR-SOOKLAL
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Gender:F
Credentials:PA
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Mailing Address - Street 1:12121 RICHMOND AVE
Mailing Address - Street 2:SUITE 325
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77082-2432
Mailing Address - Country:US
Mailing Address - Phone:281-496-1700
Mailing Address - Fax:281-496-9081
Practice Address - Street 1:12121 RICHMOND AVE
Practice Address - Street 2:SUITE 325
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77082-2432
Practice Address - Country:US
Practice Address - Phone:281-496-1700
Practice Address - Fax:281-496-9081
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-21
Last Update Date:2021-10-06
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Provider Licenses
StateLicense IDTaxonomies
TXPA03034363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX86N472Medicare PIN