Provider Demographics
NPI:1326148586
Name:KARST, FERNANDO ENRIQUE (MD)
Entity type:Individual
Prefix:
First Name:FERNANDO
Middle Name:ENRIQUE
Last Name:KARST
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:14329 SAN PEDRO AVE STE C
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78232-4389
Mailing Address - Country:US
Mailing Address - Phone:210-494-2744
Mailing Address - Fax:210-494-2866
Practice Address - Street 1:7940 FLOYD CURL DR STE 100
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-3907
Practice Address - Country:US
Practice Address - Phone:210-297-5520
Practice Address - Fax:210-297-0632
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-25
Last Update Date:2024-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK29332083P0011X, 174400000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2083P0011XAllopathic & Osteopathic PhysiciansPreventive MedicineUndersea and Hyperbaric MedicineGroup - Multi-Specialty
No174400000XOther Service ProvidersSpecialist
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
G72388Medicare UPIN