Provider Demographics
NPI:1346355435
Name:KING, KARL W (MD)
Entity Type:Individual
Prefix:DR
First Name:KARL
Middle Name:W
Last Name:KING
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:2245 TEXAS DR STE 300
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-1468
Mailing Address - Country:US
Mailing Address - Phone:281-566-2527
Mailing Address - Fax:281-201-4151
Practice Address - Street 1:21216 NORTHWEST FWY STE 560
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429-4697
Practice Address - Country:US
Practice Address - Phone:281-566-2527
Practice Address - Fax:281-201-4151
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-20
Last Update Date:2021-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK25142085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1457061-04Medicaid
TX145706103Medicaid
TX8134N1Medicare PIN
TXF33714Medicare UPIN
TX145706101Medicaid
TX920006686Medicare PIN