DR. Karla Renise Ivy, D.O.
NPI #1780066035 in Jbsa Randolph, Texas
Provider Information
- NPI Number
- 1780066035
- Entity Type
- Individual
- Name
- DR. Karla Renise Ivy, D.O.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Family Medicine
- Credential
- D.O.
- Enumeration Date
- Jun 23, 2015
- Last Updated
- Jun 24, 2022
Practice Location
- Address
- 221 3RD ST W BLDG 1040
- City
- Jbsa Randolph
- State
- Texas
- ZIP Code
- 78150-4800
- Phone
- (210) 652-5363
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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