Provider Demographics
NPI:1427179043
Name:ERWIN, KARL DANIEL (MD)
Entity Type:Individual
Prefix:DR
First Name:KARL
Middle Name:DANIEL
Last Name:ERWIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 630678
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75063-0133
Mailing Address - Country:US
Mailing Address - Phone:214-750-6110
Mailing Address - Fax:214-750-6002
Practice Address - Street 1:7502 GREENVILLE AVE
Practice Address - Street 2:SUITE 600
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-3832
Practice Address - Country:US
Practice Address - Phone:214-750-6110
Practice Address - Fax:214-750-6002
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG5026207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXC15494Medicare UPIN