Healthcare Provider Details

I. General information

NPI: 1851331789
Provider Name (Legal Business Name): M. ELIZABETH KLENZ MD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/08/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1401 E RIDGE RD SUITE F
MCALLEN TX
78503-1524
US

IV. Provider business mailing address

1401 E RIDGE RD SUITE F
MCALLEN TX
78503-1524
US

V. Phone/Fax

Practice location:
  • Phone: 956-630-0240
  • Fax: 956-630-1470
Mailing address:
  • Phone: 956-630-0240
  • Fax: 956-630-1470

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code173000000X
TaxonomyLegal Medicine
License NumberK8264
License Number StateTX

VIII. Authorized Official

Name: DR. MARY ELIZABETH KLENZ
Title or Position: OWNER
Credential: MD
Phone: 956-630-0240