Provider Demographics
NPI:1639266356
Name:FLANAGAN, KAREN ZERN (MAGR, RD, LD, CDE)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:ZERN
Last Name:FLANAGAN
Suffix:
Gender:F
Credentials:MAGR, RD, LD, CDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12301 BAR X DR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78727-5705
Mailing Address - Country:US
Mailing Address - Phone:512-917-5093
Mailing Address - Fax:512-250-1451
Practice Address - Street 1:660 S BAGDAD RD STE 310
Practice Address - Street 2:
Practice Address - City:LEANDER
Practice Address - State:TX
Practice Address - Zip Code:78641-5049
Practice Address - Country:US
Practice Address - Phone:512-772-6788
Practice Address - Fax:888-668-6889
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-06
Last Update Date:2022-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDT04315133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX7821670OtherAETNA
TX26MROtherBCBS
TX7821670OtherAETNA