Provider Demographics
NPI:1154117091
Name:MINJARES, KAREN D
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:D
Last Name:MINJARES
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2383 ENCHANTED NOOK LN
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79911-7538
Mailing Address - Country:US
Mailing Address - Phone:915-549-0701
Mailing Address - Fax:
Practice Address - Street 1:2383 ENCHANTED NOOK LN
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79911-7538
Practice Address - Country:US
Practice Address - Phone:915-549-0701
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-17
Last Update Date:2025-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter