MEDICARE: DR. JAMES A. KLIEWER MD

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	207Q00000X	Family Medicine Physician	E2659	TX

General Provider Information

NPI Number	:	1447246749
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES A. KLIEWER MD

Provider Business Mailing Address
First Line	:	1905 SW H K DODGEN LOOP
Second Line	:
City	:	TEMPLE
State	:	TX
Zip	:	76502-1814
Country	:	US
Telephone Number	:	254-298-2682
Fax Number	:	254-778-7197

Provider Business Practice Location Address
First Line	:	1905 SW H K DODGEN LOOP
Second Line	:
City	:	TEMPLE
State	:	TX
Zip	:	76502-1814
Country	:	US
Telephone Number	:	254-298-2682
Fax Number	:	254-778-7197

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

Provider Enumeration Date	:	09/22/2005
Last Update Date	:	07/08/2007

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