Basic Information
| Provider Information | |||||||||
| NPI: | 1841645777 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | KARPISEK | ||||||||
| FirstName: | ANDREW | ||||||||
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| Credential: | M.D | ||||||||
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| Mailing Information | |||||||||
| Address1: | 221 W. COLORADO BLVD. PAVILION II SUITE 425 | ||||||||
| Address2: | |||||||||
| City: | DALLAS | ||||||||
| State: | TX | ||||||||
| PostalCode: | 75208 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2149473231 | ||||||||
| FaxNumber: | 2149473239 | ||||||||
| Practice Location | |||||||||
| Address1: | 221 W. COLORADO BLVD. PAVILION II SUITE 425 | ||||||||
| Address2: | |||||||||
| City: | DALLAS | ||||||||
| State: | TX | ||||||||
| PostalCode: | 75208 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2149473231 | ||||||||
| FaxNumber: | 2149473239 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/28/2016 | ||||||||
| LastUpdateDate: | 08/17/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 08/11/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208600000X | BP10055721 | TX | N | Allopathic & Osteopathic Physicians | Surgery | 208600000X | S8585 | TX | Y | Allopathic & Osteopathic Physicians | Surgery | 208600000X | 2021-00366 | NC | N | Allopathic & Osteopathic Physicians | Surgery |
No ID Information.