Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | 01064453A | IN |
N | 208000000X | Pediatrician | 01064453A | IN |
NPI | 1174646582 |
---|---|
Provider Name | Dr. Karla Elizabeth Adams |
First Address | Lackland Afb, TX 78236-5638 |
Second Address | Lackland Afb, TX 78236-5638 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/04/2007 |
Last Update Date | 22/04/2020 |