Karl Kietzke, M.D.
Individual provider Active NPI Family Medicine Physician · Rockport, TX
NPI 1104806975 · NPPES record last updated Nov 24, 2007
Key facts
- NPI
- 1104806975
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- L3361 (TX)
- Practice address
- 1325 Broadway St
Rockport, TX 78382-3333 - Phone
- (361) 729-0646
- Fax
- (361) 729-8854
- NPI assigned
- Jan 18, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 14
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eastland Memorial Hospital District | Past | Accepting new patients | |
| Hardy Oak Emergency Physicians PLLC | Emergency Medicine | Past | Accepting new patients |
| Texas Emergency Room Services, PA | Emergency Medicine | Past | Accepting new patients |
| Socrates Emergency Physicians | Emergency Medicine | Past | Accepting new patients |
| Eastland Memorial Hospital District | Past | Accepting new patients | |
| Texas Emergency Room Services, PA | Emergency Medicine | Past | Accepting new patients |
| David G. Shulman, M.D., P.a. | Past | Accepting new patients | |
| Step Emergency Physicians | Emergency Medicine | Past | Accepting new patients |
| Leatherland Emergency Physicians PLLC | Emergency Medicine | Past | Accepting new patients |
| Hondo Emergency Physicians PLLC | Emergency Medicine | Past | Accepting new patients |
| Emergency Pediatric Physician MGMT LLC | Past | Accepting new patients | |
| Cannon Emergency Physicians | Emergency Medicine | Past | Accepting new patients |
| Victoria Emergency Associates LLC | Emergency Medicine | Past | Accepting new patients |
| South Texas Hospitalist Associates LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | L3361 | TX | |
| Family Medicine Physician | 207Q00000X | L3361 | TX | Yes |
Addresses
Primary practice location
1325 Broadway St
Rockport, TX 78382-3333
Mailing address
1325 Broadway St
Rockport, TX 78382-3333
Phone (361) 729-0646
Other providers in Rockport, TX
- Kavir Jiva
- John J Hopper MD PLLC
- Katharine E. McNamara, PLLC
- Jasiri Kennedy
- Laura Margaret Kieschnick
- Deedee Marie Kilough
- Kimberly Maroney, M.D., P.a.
- Klare Physical Therapy, PC
- Kenneth Wade Klare
- Crystal Lynn Landgraf
All providers in Rockport, TX · Family Medicine Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 24, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.