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NPI Code Detail

MEDICARE: JOHN KLEIN MD

MEDICARE: JOHN KLEIN MD
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
1207Q00000XFamily Medicine PhysicianL5794TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1528071172
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN KLEIN MD
Provider Business Mailing Address
First Line : 4201 S LOOP 256
Second Line :
City : PALESTINE
State : TX
Zip : 75801-8476
Country : US
Telephone Number : 903-723-8533
Fax Number :
Provider Business Practice Location Address
First Line : 4201 S LOOP 256
Second Line :
City : PALESTINE
State : TX
Zip : 75801-8476
Country : US
Telephone Number : 903-723-8533
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/14/2006
Last Update Date : 02/01/2013

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