Individual
KAREN MATEVOSYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5323 HARRY HINES BLVD, CHARLES SPRAGUE BUILDING, CS3.114, DALLAS, TX 75390-9073
(214) 648-9182
(214) 648-8037
Mailing address
P.O. BOX 845347, DALLAS, TX 75284
(214) 648-9182
(214) 648-8037
Taxonomy
Speciality
Code
Description
License number
State
207ZB0001X
Blood Banking & Transfusion Medicine Physician
Primary
N8319
TX
207ZC0006X
Clinical Pathology Physician
N8319
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BP2-0026709
INSTITUTIONAL PERMIT
—
Enumeration date
06/11/2007
Last updated
04/08/2011
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