Provider Demographics
NPI:1427294867
Name:CASON, KARLIE LYNN (PA-C)
Entity type:Individual
Prefix:
First Name:KARLIE
Middle Name:LYNN
Last Name:CASON
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17674 REGAL ROW
Mailing Address - Street 2:
Mailing Address - City:FLINT
Mailing Address - State:TX
Mailing Address - Zip Code:75762-5713
Mailing Address - Country:US
Mailing Address - Phone:409-656-8352
Mailing Address - Fax:
Practice Address - Street 1:803 HWY 31 EAST
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:TX
Practice Address - Zip Code:75758-0373
Practice Address - Country:US
Practice Address - Phone:903-849-5756
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-01-06
Last Update Date:2012-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant