Provider Demographics
NPI:1932335692
Name:SEROUSSI, KAREN B (DO)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:B
Last Name:SEROUSSI
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10711 BURNET RD
Mailing Address - Street 2:SUITE 321
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78758-4478
Mailing Address - Country:US
Mailing Address - Phone:512-300-0428
Mailing Address - Fax:
Practice Address - Street 1:10711 BURNET RD
Practice Address - Street 2:SUITE 321
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78758-4478
Practice Address - Country:US
Practice Address - Phone:512-300-0428
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-06-08
Last Update Date:2015-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXBP1-00354662084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry