Individual
KAREN PAGANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1800 CLOVERLEAF DR, AUSTIN, TX 78723-3428
(512) 786-7224
Mailing address
1800 CLOVERLEAF DR, AUSTIN, TX 78723-3428
(512) 786-7224
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
87860
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
123456
RANDOM NUMBER CHOSEN
TX
Enumeration date
03/24/2022
Last updated
03/24/2022
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