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NPI Code Detail

MEDICARE: RACHAEL STEFANIE KLUENDER

MEDICARE: RACHAEL STEFANIE KLUENDER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM0855XAdolescent and Children Mental Health Clinic/CenterTX

General Provider Information

NPI Number : 1255157053
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHAEL STEFANIE KLUENDER
Provider Business Mailing Address
First Line : 4215 FM 1128 RD
Second Line :
City : PEARLAND
State : TX
Zip : 77584-7527
Country : US
Telephone Number : 713-575-7395
Fax Number :
Provider Business Practice Location Address
First Line : 2743 SMITH RANCH RD STE 704
Second Line :
City : PEARLAND
State : TX
Zip : 77584-5218
Country : US
Telephone Number : 281-215-3985
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/26/2024
Last Update Date : 11/26/2024

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