Theodore Carroll Klem M.D.

NPI 1063702876 - Internal Medicine - 207R00000X

NPI Details
NPI 1063702876
Gender Male
Enumeration Date 04/13/2011
Last Updated 01/30/2015
Entity Type Individual
Active Over 5 years ago
Practice Location
601 E 15TH ST
AUSTIN TX, 78701-1930, US
Phone (512) 324-7863
Fax
Business Location
601 E 15TH ST
AUSTIN TX, 78701-1930, US
Phone (512) 324-7863
Fax
Toxanomy
Taxonomy Code 207R00000X
License State Texas
License Number BP10039985
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According to our database, Mr. Theodore Carroll Klem M.D. NPI is 1063702876, taxonomy code is 207R00000X and license number is BP10039985, license state is located at Texas. Theodore Carroll Klem M.D. physically located at 601 E 15th St, Austin TX, 78701-1930. NPI Number Theodore Carroll Klem M.D. has the Individual type.

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1063702876 NPI number is provided on an as is basis without warranty of any kind. 1063702876 is maintained by the National Plan & Provider Enumeration System. The contents of Theodore Carroll Klem M.D. are for informational purposes only.