Provider Demographics
NPI:1205979341
Name:BEARD, KARLA TERESA (ANP)
Entity type:Individual
Prefix:
First Name:KARLA
Middle Name:TERESA
Last Name:BEARD
Suffix:
Gender:F
Credentials:ANP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2904 GABRIEL DR
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75071-3115
Mailing Address - Country:US
Mailing Address - Phone:469-450-6052
Mailing Address - Fax:
Practice Address - Street 1:15800 DOOLEY RD STE 100
Practice Address - Street 2:
Practice Address - City:ADDISON
Practice Address - State:TX
Practice Address - Zip Code:75001-4219
Practice Address - Country:US
Practice Address - Phone:972-239-3849
Practice Address - Fax:972-934-4969
Is Sole Proprietor?:No
Enumeration Date:2007-02-15
Last Update Date:2008-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX584359363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX584359OtherRN LICENSE NU,BER
TX194470402Medicaid
TX194470401Medicaid
TX8K8776Medicare PIN
TX8K8775Medicare PIN
TX8J5954Medicare PIN