Provider Demographics
NPI:1134163975
Name:VARTIAN, CARL VICTOR (MD)
Entity type:Individual
Prefix:DR
First Name:CARL
Middle Name:VICTOR
Last Name:VARTIAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:7777 SOUTHWEST FWY
Mailing Address - Street 2:740
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074-1802
Mailing Address - Country:US
Mailing Address - Phone:713-777-7751
Mailing Address - Fax:713-777-2715
Practice Address - Street 1:7777 SOUTHWEST FWY
Practice Address - Street 2:740
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-1802
Practice Address - Country:US
Practice Address - Phone:713-777-7751
Practice Address - Fax:713-777-2715
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-15
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXG6886207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXB27267Medicare UPIN