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1245233519

NPI Code Detail

MEDICARE: DR. GREGORY C KARNAZE MD

MEDICARE: DR. GREGORY C KARNAZE MD

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	2085R0204X	Vascular & Interventional Radiology Physician	G4320	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	300127108	OTHER		RRMCARE2
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	300034071	OTHER		RRMCARE
5	134424405	OTHER	TX	CSHCN2
6	134424403	OTHER	TX	CSHCN1

General Provider Information

NPI Number	:	1245233519
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GREGORY C KARNAZE MD

Provider Business Mailing Address
First Line	:	12554 RIATA VISTA CIR
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78727-6431
Country	:	US
Telephone Number	:	512-795-5100
Fax Number	:	512-795-5122

Provider Business Practice Location Address
First Line	:	12554 RIATA VISTA CIR
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78727-6431
Country	:	US
Telephone Number	:	512-795-5100
Fax Number	:	512-795-5122

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

Provider Enumeration Date	:	05/31/2005
Last Update Date	:	01/12/2015

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Directions to “ DR. GREGORY C KARNAZE MD” Practice Location

Language	Start Address	Practice Location

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