Individual
DR. KAREN WASSERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
5925 FOREST LN STE 301, DALLAS, TX 75230-2772
(214) 350-1311
(214) 350-1318
Mailing address
5925 FOREST LN STE 301, DALLAS, TX 75230-2772
(214) 350-3111
(214) 350-1318
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
0822
TX
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
0822
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0822
TX LICENSE
TX
01
—
2654990001
PTAN
—
Enumeration date
07/11/2005
Last updated
03/23/2020
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