MEDICARE: DR. DALE ROBERT KLEPZIG 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	208600000X	Surgery Physician	0116016615	TX
2	208600000X	Surgery Physician	N7935	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1396935631
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DALE ROBERT KLEPZIG M.D.

Provider Business Mailing Address
First Line	:	2001 N JEFFERSON AVE
Second Line	:	SUITE 120
City	:	MT PLEASANT
State	:	TX
Zip	:	75455-2338
Country	:	US
Telephone Number	:	903-577-8721
Fax Number	:	903-577-0640

Provider Business Practice Location Address
First Line	:	2001 N JEFFERSON AVE
Second Line	:	SUITE 120
City	:	MT PLEASANT
State	:	TX
Zip	:	75455-2338
Country	:	US
Telephone Number	:	903-572-8741
Fax Number	:	903-577-0640

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

Provider Enumeration Date	:	08/01/2007
Last Update Date	:	05/12/2026

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Directions to “ DR. DALE ROBERT KLEPZIG M.D.” Practice Location

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