MEDICARE: MICHAEL KARLESKINT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	18042	TX

General Provider Information

NPI Number	:	1073625745
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL KARLESKINT

Provider Business Mailing Address
First Line	:	100 S COLLINS FWY
Second Line	:	P. O. BOX 960
City	:	HOWE
State	:	TX
Zip	:	75459-4589
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 S COLLINS FWY
Second Line	:
City	:	HOWE
State	:	TX
Zip	:	75459-4589
Country	:	US
Telephone Number	:	903-532-5545
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	07/08/2007

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Directions to “ MICHAEL KARLESKINT ” Practice Location

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