# JONATHAN M KLETZ DPM P A

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366611006
- **Authorized official:** DR. JONATHAN MARK KLETZ DPM (PRESIDENT)
- **Authorized official phone:** (214) 340-8885

## Contact information

- **Practice address:** 514 E CORISICANA ST STE B, ATHENS, TX 75751-2506
- **Practice address phone:** (909) 677-9090
- **Practice address fax:** (903) 677-9091
- **Mailing address:** 6760 ABRAMS RD, STE 203, DALLAS, TX 75231-0246
- **Mailing address phone:** (214) 340-8885
- **Mailing address fax:** (214) 340-4046

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 1102 | TX | Yes |

## Other

- **Enumeration date:** 02/27/2008
- **Last updated:** 04/24/2008