Provider Demographics
NPI:1568608644
Name:KARR, NICHOLAS PAUL (MD)
Entity Type:Individual
Prefix:DR
First Name:NICHOLAS
Middle Name:PAUL
Last Name:KARR
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 1:7515 GREENVILLE AVE STE 900
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231-3851
Mailing Address - Country:US
Mailing Address - Phone:214-206-1447
Mailing Address - Fax:469-808-0695
Practice Address - Street 1:7515 GREENVILLE AVE STE 900
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-3851
Practice Address - Country:US
Practice Address - Phone:214-206-1447
Practice Address - Fax:469-808-0695
Is Sole Proprietor?:No
Enumeration Date:2008-12-19
Last Update Date:2021-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301092839207P00000X
TXN8527207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX284711301Medicaid
TXP00975218OtherRAILROAD
TX284711301Medicaid