Organization Active NPI

Karen Dickerson MD PA

  • Ambulatory Surgical Clinic/Center
  • Humble, TX
National Provider Identifier
1538308499
Registry record updated Feb 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
J4083 Issued in TX
Legal business name
KAREN DICKERSON MD PA
Practice address
20919 Golden Kings CT
Humble, TX 77346-1688
Phone
(713) 355-1500
NPI assigned
Feb 16, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Karen Dickerson, MD
Title
Doctor
Phone
(713) 355-1500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X J4083 TX Primary

Addresses

Primary practice location

20919 Golden Kings CT
Humble, TX 77346-1688

Mailing address

20919 Golden Kings CT
Humble, TX 77346-1688
Phone (713) 355-1500

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1234742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234742400000",
    "number": "1538308499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20919 GOLDEN KINGS CT",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773461688",
            "telephone_number": "713-355-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20919 GOLDEN KINGS CT",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773461688",
            "telephone_number": "713-355-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAREN DICKERSON MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-16",
        "last_updated": "2009-02-16",
        "status": "A",
        "authorized_official_last_name": "DICKERSON",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "713-355-1500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TX",
            "license": "J4083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Humble, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.