Individual
KAREN LANETTE NIELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1500 COOPER ST, FORT WORTH, TX 76104-2710
(682) 885-4007
(682) 885-4004
Mailing address
PO BOX 99371, FORT WORTH, TX 76199-0371
(682) 885-1855
(682) 885-7347
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
H7800
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
136928201
—
TX
05
—
136928202
—
TX
05
—
136928203
—
TX
05
—
136928207
—
TX
05
—
136928209
—
TX
05
—
136928210
—
TX
05
—
136928211
—
TX
05
—
136928212
—
TX
01
—
8R1514
BLUE CROSS OF TEXAS
TX
Enumeration date
06/04/2006
Last updated
07/28/2016
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