Healthcare Provider Details

I. General information

NPI: 1144952359
Provider Name (Legal Business Name): PEAK FERTILITY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/27/2022
Last Update Date: 06/27/2022
Certification Date: 06/20/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5288 TOWNE SQUARE DRIVE
PLANO TX
75024
US

IV. Provider business mailing address

5012 HORSESHOE TRL
DALLAS TX
75209-3324
US

V. Phone/Fax

Practice location:
  • Phone: 469-443-4329
  • Fax:
Mailing address:
  • Phone: 214-354-4933
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. AMBER KLIMCZAK
Title or Position: MANAGER
Credential: MD
Phone: 214-354-4933