Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 241707 | MA |
N | 111NI0900X | Internist | 241707 | MA |
Y | 207W00000X | Ophthalmologist | P6433 | TX |
NPI | 1003046830 |
---|---|
Provider Name | Michael Drew Karon |
First Address | Frisco, TX 75034-5125 |
Second Address | Frisco, TX 75034-5125 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/07/2009 |
Last Update Date | 01/05/2017 |