Provider Demographics
NPI:1336108463
Name:HOUPT, KAREN R (MD)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:R
Last Name:HOUPT
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 1:6100 WINDHAVEN PKWY
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-8046
Mailing Address - Country:US
Mailing Address - Phone:972-608-0330
Mailing Address - Fax:
Practice Address - Street 1:6100 WINDHAVEN PKWY
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-8046
Practice Address - Country:US
Practice Address - Phone:972-608-0330
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-18
Last Update Date:2012-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG3479207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX119055502Medicaid
TX119055502Medicaid
TX879980Medicare ID - Type Unspecified