Provider Demographics
NPI:1619978640
Name:KARR, CARL A (MD)
Entity Type:Individual
Prefix:
First Name:CARL
Middle Name:A
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 1:13624 MICHEL RD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:TOMBALL
Mailing Address - State:TX
Mailing Address - Zip Code:77375-6409
Mailing Address - Country:US
Mailing Address - Phone:281-351-6881
Mailing Address - Fax:281-351-1191
Practice Address - Street 1:13624 MICHEL RD
Practice Address - Street 2:SUITE 201
Practice Address - City:TOMBALL
Practice Address - State:TX
Practice Address - Zip Code:77375-6409
Practice Address - Country:US
Practice Address - Phone:281-351-6881
Practice Address - Fax:281-351-1191
Is Sole Proprietor?:No
Enumeration Date:2005-08-01
Last Update Date:2008-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ28882080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8A2060OtherBLUE CROSS BLUE SHIELD
1619978640OtherNATIONAL PROVIDER NUMBER
TX8A2060OtherBLUE CROSS BLUE SHIELD