Provider Demographics
NPI:1629370705
Name:SLABAS, KAREN KUBOTA (MD)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:KUBOTA
Last Name:SLABAS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:50 SHADY DALE LN
Mailing Address - Street 2:
Mailing Address - City:ROCKWALL
Mailing Address - State:TX
Mailing Address - Zip Code:75032-5801
Mailing Address - Country:US
Mailing Address - Phone:469-941-9050
Mailing Address - Fax:469-941-2644
Practice Address - Street 1:3144 HORIZON RD
Practice Address - Street 2:
Practice Address - City:ROCKWALL
Practice Address - State:TX
Practice Address - Zip Code:75032-7045
Practice Address - Country:US
Practice Address - Phone:469-897-4050
Practice Address - Fax:469-897-4049
Is Sole Proprietor?:No
Enumeration Date:2010-11-23
Last Update Date:2021-12-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXP7986207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX339214401Medicaid
TX365765YUHKMedicare UPIN