Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2081P2900X | Pain Medicine | 052805 | GA |
N | 2081P2900X | Pain Medicine | 43164-021 | WI |
Y | 2081P2900X | Pain Medicine | M0526 | TX |
NPI | 1073538484 |
---|---|
Provider Name | Karen Michelle Perl |
First Address | Argyle, TX 76226-3929 |
Second Address | Fort Worth, TX 76112-2384 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/07/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H87662 | (02) | TX |