Provider Demographics
NPI:1912460528
Name:CONSANA HEALTH SERVICES LLC
Entity Type:Organization
Organization Name:CONSANA HEALTH SERVICES LLC
Other - Org Name:CONSANA HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP OF CLINICAL
Authorized Official - Prefix:DR
Authorized Official - First Name:KARMEN
Authorized Official - Middle Name:LEE ANN
Authorized Official - Last Name:STEPHENS
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:833-444-8840
Mailing Address - Street 1:1010 E ARAPAHO RD STE 102
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75081-2362
Mailing Address - Country:US
Mailing Address - Phone:833-444-8840
Mailing Address - Fax:833-783-4273
Practice Address - Street 1:1010 E ARAPAHO RD STE 102
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75081-2362
Practice Address - Country:US
Practice Address - Phone:833-444-8840
Practice Address - Fax:833-783-4273
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-10
Last Update Date:2023-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX35045OtherPHARMACY LICENSE NUMBER