Provider Demographics
NPI:1962989723
Name:GAUER, KAREN SUE (LVN)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:SUE
Last Name:GAUER
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 1:2318 WOVEN WOOD LN
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77406-2316
Mailing Address - Country:US
Mailing Address - Phone:281-787-4280
Mailing Address - Fax:
Practice Address - Street 1:2318 WOVEN WOOD LN
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77406-2316
Practice Address - Country:US
Practice Address - Phone:281-787-4280
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-25
Last Update Date:2018-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX114128164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes164X00000XNursing Service ProvidersLicensed Vocational NurseGroup - Single Specialty