Healthcare Provider Details

I. General information

NPI: 1841237104
Provider Name (Legal Business Name): PAUL H KARAKOURTIS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/02/2006
Last Update Date: 07/09/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1926 SW GREEN OAKS BLVD
ARLINGTON TX
76017-2735
US

IV. Provider business mailing address

1926 SW GREEN OAKS BLVD
ARLINGTON TX
76017-2735
US

V. Phone/Fax

Practice location:
  • Phone: 817-472-5522
  • Fax: 817-472-7303
Mailing address:
  • Phone: 817-472-5522
  • Fax: 817-472-7303

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberJ4255
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberJ4255
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: