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JONATHAN M KLETZ DPM P A NPI 1366611006


NPI Information

NPI: 1366611006
Provider Name: JONATHAN M KLETZ DPM P A
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
514 E CORISICANA ST STE B
ATHENS, TX
ZIP 75751
Phone: (909) 677-9090
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JONATHAN M KLETZ DPM P A is a foot and ankle surgery podiatrist in Athens, TX. JONATHAN M KLETZ DPM P A NPI is 1366611006. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

514 E CORISICANA ST STE B
ATHENS, TX
ZIP 75751-506
Phone: (909) 677-9090
Fax: (903) 677-9091

The provider's authorized official is Jonathan Mark Kletz .
The authorized official title is President and has the following contact phone number (214) 340-8885.

The enumeration date for this NPI number is 2/27/2008 and was last updated on 4/24/2008.


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
1213ES0103XPodiatristFoot & Ankle Surgery1102TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1120518901MEDICAIDTEXAS
24922850001MEDICARE NSCTEXAS
3UO2977MEDICARE UPIN
400Y841MEDICARE PINTEXAS

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
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All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

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