MEDICARE: LAURIE KLEIMAN M.D.

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	2084P0800X	Psychiatry Physician	K2053	TX

General Provider Information

NPI Number	:	1326119140
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURIE KLEIMAN M.D.

Provider Business Mailing Address
First Line	:	2600 N STEMMONS FWY
Second Line	:	SUITE 151
City	:	DALLAS
State	:	TX
Zip	:	75207-2113
Country	:	US
Telephone Number	:	888-905-0595
Fax Number	:	214-905-0979

Provider Business Practice Location Address
First Line	:	2600 N STEMMONS FWY
Second Line	:	SUITE 151
City	:	DALLAS
State	:	TX
Zip	:	75207-2113
Country	:	US
Telephone Number	:	888-905-0595
Fax Number	:	214-905-0979

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

Provider Enumeration Date	:	11/13/2006
Last Update Date	:	03/11/2016

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