Individual
MERRINE KLAKEEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
5323 HARRY HINES BLVD, GRADUATE MEDICAL EDUCATION, DALLAS, TX 75390-9055
(214) 648-0592
(214) 648-9207
Mailing address
5323 HARRY HINES BLVD, GRADUATE MEDICAL EDUCATION, DALLAS, TX 75390-9055
(214) 648-0592
(214) 648-9207
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
Q5007
TX
390200000X
Student in an Organized Health Care Education/Training Program
BP10040289
TX
390200000X
Student in an Organized Health Care Education/Training Program
BP20051408
TX
Other
Enumeration date
02/09/2011
Last updated
02/12/2020
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