Provider Demographics
NPI:1598154650
Name:WILLIAMS, KAREN LYNETTE (PA-C)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:LYNETTE
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:KAREN
Other - Middle Name:LYNETTE
Other - Last Name:POPP
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4358 LOCKHILL SELMA RD STE 110
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78249-4167
Mailing Address - Country:US
Mailing Address - Phone:210-492-4300
Mailing Address - Fax:210-492-4380
Practice Address - Street 1:4358 LOCKHILL SELMA RD STE 110
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78249
Practice Address - Country:US
Practice Address - Phone:210-492-4200
Practice Address - Fax:210-492-4380
Is Sole Proprietor?:No
Enumeration Date:2015-01-13
Last Update Date:2018-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA09610363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical