Individual
TRACY LEE KLIMISCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3801 VISTA RD STE 100, PASADENA, TX 77504-2160
(713) 844-2400
(713) 844-2470
Mailing address
3801 VISTA RD STE 100, PASADENA, TX 77504-2160
(713) 844-2400
(713) 844-2480
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA02034
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA02034
PA-C LICENSE
TX
Enumeration date
09/14/2006
Last updated
07/08/2007
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