MEDICARE: TRACY LEE KLIMISCH PA-C

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
1	363AM0700X	Medical Physician Assistant	PA02034	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	PA02034	OTHER	TX	PA-C LICENSE

General Provider Information

NPI Number	:	1205931219
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TRACY LEE KLIMISCH PA-C

Provider Business Mailing Address
First Line	:	3801 VISTA RD STE 100
Second Line	:
City	:	PASADENA
State	:	TX
Zip	:	77504-2160
Country	:	US
Telephone Number	:	713-844-2400
Fax Number	:	713-844-2480

Provider Business Practice Location Address
First Line	:	3801 VISTA RD STE 100
Second Line	:
City	:	PASADENA
State	:	TX
Zip	:	77504-2160
Country	:	US
Telephone Number	:	713-844-2400
Fax Number	:	713-844-2470

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/14/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1811557333 — BEAU KIRKWOOD DO
Practice Location Address:

3801 VISTA RD STE 100
PASADENA, TX
77504-2160

Practice Phone: 281-249-2273
Practice Fax: 281-249-2282

1073598777 — MR. JOHN D KIRKWOOD DO
Practice Location Address:

3801 VISTA RD STE 100
PASADENA, TX
77504-2160

Practice Phone: 281-249-2273
Practice Fax: 281-249-2282

1528953684 — LITTLE STARS PEDIATRIC CENTER LLC
Practice Location Address:

3301 PLAINVIEW ST STE 10
PASADENA, TX
77504-1927

Practice Phone: 786-389-2248
Practice Fax:

1184090110 — DR. TASHA RENEE FORD PT, DPT
Practice Location Address:

3333 BAYSHORE BLVD STE 340
PASADENA, TX
77504-1960

Practice Phone: 713-910-5437
Practice Fax: 713-910-5445

1154767168 — BMR HOME HEALTH, LLC
Practice Location Address:

4205 FAIRMONT PKWY STE 150
PASADENA, TX
77504-3324

Practice Phone: 713-780-2390
Practice Fax: 936-242-0774

1497967368 — CHARTWELL COMMUNITY SERVICES INC.
Practice Location Address:

4205 FAIRMONT PKWY , SUITE 150
PASADENA, TX
77504-3324

Practice Phone: 713-472-3198
Practice Fax: 713-472-2587

Directions to “ TRACY LEE KLIMISCH PA-C” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.