Individual
KAREN ANN WITHERSPOON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCP
Contact information
Practice address
3329 ROYAL LN, DALLAS, TX 75229-5062
(972) 814-4809
Mailing address
3329 ROYAL LN, DALLAS, TX 75229-5062
(972) 814-4809
Taxonomy
Speciality
Code
Description
License number
State
242T00000X
Perfusionist
Primary
PF1059
TX
Other
Enumeration date
12/02/2009
Last updated
12/02/2009
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