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Organization
SHANNON KLUPPEL MD
Active
Organization
SHANNON KLUPPEL MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHANNON KLUPPEL MD (OWNER)
(281) 422-5437
Entity
Organization
Contact information
Practice address
1000 E JAMES ST, BAYTOWN, TX 77520-5820
(281) 422-5437
(281) 427-4050
Mailing address
1000 E JAMES ST, BAYTOWN, TX 77520-5820
(281) 422-5437
(281) 427-4050
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114427204
—
TX
Enumeration date
03/17/2020
Last updated
03/17/2020
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