Provider Demographics
NPI:1992142533
Name:SJOGREN, KARA ELIZABETH (DO)
Entity type:Individual
Prefix:DR
First Name:KARA
Middle Name:ELIZABETH
Last Name:SJOGREN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:711 W LAMPASAS ST
Mailing Address - Street 2:
Mailing Address - City:ENNIS
Mailing Address - State:TX
Mailing Address - Zip Code:75119-4533
Mailing Address - Country:US
Mailing Address - Phone:972-846-4800
Mailing Address - Fax:972-947-5257
Practice Address - Street 1:711 W LAMPASAS ST
Practice Address - Street 2:
Practice Address - City:ENNIS
Practice Address - State:TX
Practice Address - Zip Code:75119-4533
Practice Address - Country:US
Practice Address - Phone:972-846-4800
Practice Address - Fax:972-947-5257
Is Sole Proprietor?:No
Enumeration Date:2013-05-22
Last Update Date:2024-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ6574207Q00000X
KY04029207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN300012947Medicaid
KY7100436580Medicaid