Individual
MICHAEL KLEBUC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6560 FANNIN ST, SUITE 2200, HOUSTON, TX 77030-2761
(713) 441-6106
Mailing address
6560 FANNIN ST, SUITE 2200, HOUSTON, TX 77030-2761
(713) 441-6106
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
L0341
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8EJ460
BLUE CROSS BLUE SHIELD
TX
01
—
8S5862
BCBS
TX
Enumeration date
07/03/2006
Last updated
07/07/2014
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