Provider Demographics
NPI:1942902861
Name:HERAS, KARIM
Entity Type:Individual
Prefix:
First Name:KARIM
Middle Name:
Last Name:HERAS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:348 JOY DR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78223-6014
Mailing Address - Country:US
Mailing Address - Phone:302-249-7200
Mailing Address - Fax:
Practice Address - Street 1:348 JOY DR
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78223-6014
Practice Address - Country:US
Practice Address - Phone:302-249-7200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-22
Last Update Date:2023-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program