Provider Demographics
NPI:1124525969
Name:GUARDADO, KARINA (DC)
Entity type:Individual
Prefix:DR
First Name:KARINA
Middle Name:
Last Name:GUARDADO
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 1:820 E DOVE LOOP RD APT 722
Mailing Address - Street 2:
Mailing Address - City:GRAPEVINE
Mailing Address - State:TX
Mailing Address - Zip Code:76051-7285
Mailing Address - Country:US
Mailing Address - Phone:469-346-6242
Mailing Address - Fax:
Practice Address - Street 1:4425 PLANO PKWY STE 1702
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75010-5038
Practice Address - Country:US
Practice Address - Phone:469-346-6242
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-09
Last Update Date:2023-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13594111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor