Provider Demographics
NPI:1063431013
Name:KASBARIAN, CHARLES MURRAY (MD)
Entity type:Individual
Prefix:
First Name:CHARLES
Middle Name:MURRAY
Last Name:KASBARIAN
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:670 W. ARAPAHO RD
Mailing Address - Street 2:SUITE 6
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75080-4213
Mailing Address - Country:US
Mailing Address - Phone:972-235-6311
Mailing Address - Fax:972-235-5951
Practice Address - Street 1:670 W. ARAPAHO RD
Practice Address - Street 2:SUITE 6
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75080-4213
Practice Address - Country:US
Practice Address - Phone:972-235-6311
Practice Address - Fax:972-235-5951
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-19
Last Update Date:2025-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH1973207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXE07930Medicare UPIN