=====================================================
General NPI Number Information
=====================================================
NPI Number | 1225468952
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | KARL R. ZARSE, MD PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/15/2013
-----------------------------------------------------
Last Update Date | 12/06/2013
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1339 E COURT ST SUITE 240
-----------------------------------------------------
City | SEGUIN
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78155-5130
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 512-694-7765
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1339 E COURT ST SUITE 240
-----------------------------------------------------
City | SEGUIN
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78155-5130
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 512-694-7765
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | MANAGER
-----------------------------------------------------
Name | KARL R. ZARSE
-----------------------------------------------------
Credential | M.D.
-----------------------------------------------------
Telephone | 512-694-7765
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 208VP0014X
-----------------------------------------------------
Taxonomy Name | Interventional Pain Medicine Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------