KLR PHYSICIAN GROUP NPI 1033506456

NPI Information

NPI: 1033506456
Provider Name: KLR PHYSICIAN GROUP

Former Legal Business Name: THE KLR PHYSICIAN GROUP

Classification:
Entity Type: Organization
Address:
3450 E. BROAD STREET
SUITE 120
MANSFIELD, TX
ZIP 76063
Phone: (267) 981-0308
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KLR PHYSICIAN GROUP is a healthcare provider in Mansfield, TX. KLR PHYSICIAN GROUP NPI is 1033506456. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is The Klr Physician Group.

The provider's business location address is:

3450 E. BROAD STREET
SUITE 120
MANSFIELD, TX
ZIP 76063-606
Phone: (267) 981-0308

The provider's authorized official is Kellee L Randle .
The authorized official title is Ceo and has the following contact phone number (267) 981-0308.

The enumeration date for this NPI number is 4/23/2015 and was last updated on 9/27/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	313M00000X	Nursing Facility/Intermediate Care Facility		P3570	TEXAS	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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