Healthcare Provider Details
I. General information
NPI: 1326148586
Provider Name (Legal Business Name): FERNANDO ENRIQUE KARST MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 09/25/2006
Last Update Date: 06/30/2024
Certification Date: 05/08/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7940 FLOYD CURL DR STE 100
SAN ANTONIO TX
78229-3907
US
IV. Provider business mailing address
14329 SAN PEDRO AVE STE C
SAN ANTONIO TX
78232-4389
US
V. Phone/Fax
- Phone: 210-297-5520
- Fax: 210-297-0632
- Phone: 210-494-2744
- Fax: 210-494-2866
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2083P0011X |
| Taxonomy | Undersea and Hyperbaric Medicine (Preventive Medicine) Physician |
| License Number | K2933 |
| License Number State | TX |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 174400000X |
| Taxonomy | Specialist |
| License Number | K2933 |
| License Number State | TX |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | K2933 |
| License Number State | TX |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: