Provider Demographics
NPI:1053390963
Name:THOMASON, KAREN SUE (DC)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:SUE
Last Name:THOMASON
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5020 FM 1960 RD W
Mailing Address - Street 2:SUITE B6
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77069-4521
Mailing Address - Country:US
Mailing Address - Phone:281-580-1961
Mailing Address - Fax:281-580-1968
Practice Address - Street 1:5020 FM 1960 RD W
Practice Address - Street 2:SUITE B6
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77069-4521
Practice Address - Country:US
Practice Address - Phone:281-580-1961
Practice Address - Fax:281-580-1968
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-10
Last Update Date:2008-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2906111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX601444OtherBCBS
TX601444OtherBCBS
TXT16262Medicare UPIN