Provider Demographics
NPI:1871521823
Name:ALLSUP, KAREN T (MD)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:T
Last Name:ALLSUP
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:12500 JUDSON RD STE 210
Mailing Address - Street 2:
Mailing Address - City:LIVE OAK
Mailing Address - State:TX
Mailing Address - Zip Code:78233-4146
Mailing Address - Country:US
Mailing Address - Phone:210-878-0090
Mailing Address - Fax:210-878-0037
Practice Address - Street 1:12500 JUDSON RD STE 210
Practice Address - Street 2:
Practice Address - City:LIVE OAK
Practice Address - State:TX
Practice Address - Zip Code:78233-4146
Practice Address - Country:US
Practice Address - Phone:210-878-0090
Practice Address - Fax:210-878-0037
Is Sole Proprietor?:No
Enumeration Date:2006-06-29
Last Update Date:2024-09-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXM3854207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX180036902Medicaid