Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PP0204X | Pediatric Emergency Physician | N3329 | TX |
N | 208000000X | Pediatrician | N3329 | TX |
NPI | 1750586699 |
---|---|
Provider Name | Kara Ann Starnes |
First Address | Fort Worth, TX 76199-0213 |
Second Address | Fort Worth, TX 76104-2733 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/06/2007 |
Last Update Date | 31/10/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
210090101 | (05) | TX |
210090102 | (05) | TX |