MEDICARE: JOSEPH P KLOTZ DC, APRN, FNP-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	111N00000X	Chiropractor	11470	TX
2	363LF0000X	Family Nurse Practitioner	1100625	TX

General Provider Information

NPI Number	:	1396064507
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSEPH P KLOTZ DC, APRN, FNP-C

Provider Business Mailing Address
First Line	:	3721 S STONEBRIDGE DR UNIT 1202
Second Line	:
City	:	MCKINNEY
State	:	TX
Zip	:	75070-0236
Country	:	US
Telephone Number	:	214-842-8500
Fax Number	:

Provider Business Practice Location Address
First Line	:	3721 S STONEBRIDGE DR UNIT 1202
Second Line	:
City	:	MCKINNEY
State	:	TX
Zip	:	75070-0236
Country	:	US
Telephone Number	:	214-842-8500
Fax Number	:

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

Provider Enumeration Date	:	05/27/2010
Last Update Date	:	12/12/2025

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