Provider Demographics
NPI:1538543798
Name:LLUBERES GORDO, KARLA (MD)
Entity type:Individual
Prefix:DR
First Name:KARLA
Middle Name:
Last Name:LLUBERES GORDO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2750 W NORTHWEST HWY STE 170
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75220-4783
Mailing Address - Country:US
Mailing Address - Phone:214-654-0007
Mailing Address - Fax:
Practice Address - Street 1:2750 W NORTHWEST HWY STE 170
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75220
Practice Address - Country:US
Practice Address - Phone:214-654-0007
Practice Address - Fax:214-654-9272
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-16
Last Update Date:2024-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXR6229208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics