Provider Demographics
NPI:1932320967
Name:KARAKOURTIS, MARK (DDS)
Entity Type:Individual
Prefix:
First Name:MARK
Middle Name:
Last Name:KARAKOURTIS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7517 CAMERON RD
Mailing Address - Street 2:SUITE 107
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78752-2057
Mailing Address - Country:US
Mailing Address - Phone:512-371-1222
Mailing Address - Fax:512-371-3914
Practice Address - Street 1:5656 BEE CAVE RD
Practice Address - Street 2:SUITE C102
Practice Address - City:WEST LAKE HILLS
Practice Address - State:TX
Practice Address - Zip Code:78746-5280
Practice Address - Country:US
Practice Address - Phone:512-327-9933
Practice Address - Fax:512-327-9944
Is Sole Proprietor?:No
Enumeration Date:2007-05-01
Last Update Date:2018-03-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TX15919204E00000X
TXL50032086X0206X, 204E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204E00000XAllopathic & Osteopathic PhysiciansOral & Maxillofacial Surgery
No2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical Oncology