Provider Demographics
NPI:1487159935
Name:CHRISTOPHER, KARLA T (LVN)
Entity type:Individual
Prefix:
First Name:KARLA
Middle Name:T
Last Name:CHRISTOPHER
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:134 FM 2782
Mailing Address - Street 2:
Mailing Address - City:NACOGDOCHES
Mailing Address - State:TX
Mailing Address - Zip Code:75964-2402
Mailing Address - Country:US
Mailing Address - Phone:936-564-7946
Mailing Address - Fax:
Practice Address - Street 1:134 FM 2782
Practice Address - Street 2:
Practice Address - City:NACOGDOCHES
Practice Address - State:TX
Practice Address - Zip Code:75964-2402
Practice Address - Country:US
Practice Address - Phone:936-564-7946
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-27
Last Update Date:2018-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX163436164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse