1730518911 NPI number — MS. KAREN LASHEY BIGHAM P.T.

Table of content: MS. KAREN LASHEY BIGHAM P.T. (NPI 1730518911)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1730518911 NPI number — MS. KAREN LASHEY BIGHAM P.T.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BIGHAM
Provider First Name:
KAREN
Provider Middle Name:
LASHEY
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
P.T.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
ROGERS
Provider Other First Name:
KAREN
Provider Other Middle Name:
LASHEY
Provider Other Name Prefix Text:
MRS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1730518911
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/07/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
P.O. BOX 2153
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
KELLER
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
76244
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
817-962-7559
Provider Business Mailing Address Fax Number:
817-431-6756

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6601 HARRIS PARKWAY
Provider Second Line Business Practice Location Address:
BAYLOR INSTITUTE FOR REHAB
Provider Business Practice Location Address City Name:
FT. WORTH
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
76132
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
817-433-9742
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/07/2013

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 225100000X , with the licence number:  1127637 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)