MEDICARE: KARL K COVINGTON MD PA

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	207Q00000X	Family Medicine Physician	G9083	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	006408	OTHER	TX	BLUE CROSS BLUE SHIELD
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1659595916
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KARL K COVINGTON MD PA

Provider Business Mailing Address
First Line	:	PO BOX 38759
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77238-8759
Country	:	US
Telephone Number	:	713-695-8686
Fax Number	:	713-695-6661

Provider Business Practice Location Address
First Line	:	411 W PARKER RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77091-3202
Country	:	US
Telephone Number	:	713-695-8686
Fax Number	:	713-695-6661

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	DR. KARL K COVINGTON
Credential	:	MD
Telephone Number	:	713-695-8686

Provider Enumeration Date	:	04/11/2007
Last Update Date	:	10/04/2012

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