Provider Demographics
NPI:1588727317
Name:BAXTER, KAREN (PA)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:BAXTER
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
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Other - Middle Name:
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Mailing Address - Street 1:4121 N 10TH ST # 239
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-3004
Mailing Address - Country:US
Mailing Address - Phone:956-683-8700
Mailing Address - Fax:956-683-9440
Practice Address - Street 1:5148 N 10TH ST
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-2834
Practice Address - Country:US
Practice Address - Phone:956-683-8700
Practice Address - Fax:956-683-9440
Is Sole Proprietor?:No
Enumeration Date:2006-12-19
Last Update Date:2016-05-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXPA04549363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical