Provider Demographics
NPI:1356396444
Name:WRIGHT, KAREN L (MD)
Entity type:Individual
Prefix:DR
First Name:KAREN
Middle Name:L
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:KAREN
Other - Middle Name:LYNN
Other - Last Name:WIRTH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4314 MEDICAL PKWY STE 200
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78756-3332
Mailing Address - Country:US
Mailing Address - Phone:512-454-1110
Mailing Address - Fax:
Practice Address - Street 1:4314 MEDICAL PKWY
Practice Address - Street 2:SUITE 200
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78756-3334
Practice Address - Country:US
Practice Address - Phone:512-454-1110
Practice Address - Fax:512-374-1354
Is Sole Proprietor?:No
Enumeration Date:2006-05-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK85842080P0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0202XAllopathic & Osteopathic PhysiciansPediatricsPediatric Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXE29857Medicare UPIN
TX8D3195Medicare ID - Type Unspecified