| Karen S Sticka, PA | |
|
804 Ne Mall Blvd, Hurst, TX 76053-4653 | |
| (817) 595-4500 | |
| (817) 595-4505 |
| Full Name | Karen S Sticka |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 804 Ne Mall Blvd, Hurst, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780838136 | NPI | - | NPPES |
| 297241601 | Medicaid | TX | |
| 297241602 | Medicaid | TX | |
| P00991907 | Other | TX | RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA03041 (Texas) | Primary |
| Entity Name | Skin MD PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215259452 PECOS PAC ID: 0042349136 Enrollment ID: O20100527000847 |
| Mailing Address | Practice Location Address |
|---|---|
| Karen S Sticka, PA 804 Ne Mall Blvd, Hurst, TX 76053-4653 Ph: (817) 595-4500 | Karen S Sticka, PA 804 Ne Mall Blvd, Hurst, TX 76053-4653 Ph: (817) 595-4500 |
Tarjani S Mehta, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 6316 Precinct Line Rd Ste A, Hurst, TX 76054 Phone: 817-605-2504 Fax: 817-605-2505 |
Mrs. Nabila Tabassum, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 779 Grapevine Hwy, Hurst, TX 76054 Phone: 817-428-7300 |
Stephanie A Hilton, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 779 Grapevine Hwy, Hurst, TX 76054 Phone: 817-428-7300 Fax: 817-428-1085 |
Ray Shoulders, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1717 Precinct Line Rd Ste 200, Hurst, TX 76054 Phone: 936-615-8820 |
Linda Hua, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 804 Ne Mall Blvd, Hurst, TX 76053 Phone: 817-592-9700 |
Rajat Khadka, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1709 Precinct Line Rd, Hurst, TX 76054 Phone: 817-281-0402 |
Jeremy Thomas Diver, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6316 Precinct Line Rd, Hurst, TX 76054 Phone: 817-605-2525 |