Individual
DR. KARL NICHOLAS NAZARETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 CITYWEST BLVD, STE. 300, HOUSTON, TX 77042
(713) 620-4000
(713) 458-4229
Mailing address
PO BOX 840853, DALLAS, TX 75284-0853
(972) 233-1999
(972) 233-3666
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
549547
TX
207L00000X
Anesthesiology Physician
Primary
Q0131
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
340141601
—
TX
01
—
8ER410
BCBS
TX
01
—
P01745976
RR MEDICARE
TX
Enumeration date
06/09/2010
Last updated
10/24/2019
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