Healthcare Provider Details

I. General information

NPI: 1255516357
Provider Name (Legal Business Name): ROBERT J KARL MD LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/08/2008
Last Update Date: 09/11/2020
Certification Date: 09/11/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2847 SAINT ROSE PKWY STE 150
HENDERSON NV
89052-4845
US

IV. Provider business mailing address

2847 SAINT ROSE PKWY STE 150
HENDERSON NV
89052-4845
US

V. Phone/Fax

Practice location:
  • Phone: 702-213-4848
  • Fax: 702-213-5885
Mailing address:
  • Phone: 702-213-4848
  • Fax: 702-213-5885

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number11077
License Number StateNV
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: CLARISSA BARRETTOKO
Title or Position: PARTNER
Credential: DO
Phone: 702-213-4848