Provider Demographics
NPI:1831258284
Name:VITAL, KARLA NADINE (MD)
Entity type:Individual
Prefix:DR
First Name:KARLA
Middle Name:NADINE
Last Name:VITAL
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:11920 ASTORIA BLVD
Mailing Address - Street 2:SUITE 370
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77089-6097
Mailing Address - Country:US
Mailing Address - Phone:713-538-1240
Mailing Address - Fax:713-538-1244
Practice Address - Street 1:11920 ASTORIA BLVD
Practice Address - Street 2:SUITE 370
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77089-6097
Practice Address - Country:US
Practice Address - Phone:713-538-1240
Practice Address - Fax:713-538-1244
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-08
Last Update Date:2011-08-11
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Provider Licenses
StateLicense IDTaxonomies
TXM2178207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXTXB127609Medicare PIN