Healthcare Provider Details

I. General information

NPI: 1881621589
Provider Name (Legal Business Name): ALAN M KLEIN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/27/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1441 N BECKLEY AVE
DALLAS TX
75203-1201
US

IV. Provider business mailing address

P.O. BOX 3706 STATION A
DALLAS TX
75208-3706
US

V. Phone/Fax

Practice location:
  • Phone: 214-947-3085
  • Fax: 214-947-3050
Mailing address:
  • Phone: 214-943-3770
  • Fax: 214-946-7759

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License NumberF2755
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: