Provider Demographics
NPI:1659595916
Name:KARL K COVINGTON MD PA
Entity Type:Organization
Organization Name:KARL K COVINGTON MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:KARL
Authorized Official - Middle Name:K
Authorized Official - Last Name:COVINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-695-8686
Mailing Address - Street 1:PO BOX 38759
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77238-8759
Mailing Address - Country:US
Mailing Address - Phone:713-695-8686
Mailing Address - Fax:713-695-6661
Practice Address - Street 1:411 W PARKER RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77091-3202
Practice Address - Country:US
Practice Address - Phone:713-695-8686
Practice Address - Fax:713-695-6661
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-11
Last Update Date:2012-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG9083207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX006408OtherBLUE CROSS BLUE SHIELD
TX080336301Medicaid
TX006408OtherBLUE CROSS BLUE SHIELD
TX080336301Medicaid