Provider Demographics
NPI:1255540175
Name:BEDNARSKI, KAREN ANNE (MD)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:ANNE
Last Name:BEDNARSKI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:KAREN
Other - Middle Name:ANNE
Other - Last Name:KOLLN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:7707 FANNIN ST
Mailing Address - Street 2:SUITE 195
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77054
Mailing Address - Country:US
Mailing Address - Phone:713-797-0045
Mailing Address - Fax:713-797-1821
Practice Address - Street 1:7707 FANNIN ST
Practice Address - Street 2:SUITE 195
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054
Practice Address - Country:US
Practice Address - Phone:713-797-0045
Practice Address - Fax:713-797-1821
Is Sole Proprietor?:No
Enumeration Date:2007-05-21
Last Update Date:2015-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA060704208600000X, 207Y00000X
TXN8613207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
No208600000XAllopathic & Osteopathic PhysiciansSurgery