Provider Demographics
NPI:1477538932
Name:STEIN, KARL V (MD)
Entity Type:Individual
Prefix:
First Name:KARL
Middle Name:V
Last Name:STEIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:191 OAK HILL DR
Mailing Address - Street 2:
Mailing Address - City:BEEVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78102-8415
Mailing Address - Country:US
Mailing Address - Phone:361-563-8010
Mailing Address - Fax:
Practice Address - Street 1:191 OAK HILL DR
Practice Address - Street 2:
Practice Address - City:BEEVILLE
Practice Address - State:TX
Practice Address - Zip Code:78102-8415
Practice Address - Country:US
Practice Address - Phone:361-563-8010
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-07
Last Update Date:2013-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE4700207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX031911302Medicaid
TXC22219Medicare UPIN
TX031911302Medicaid