Individual
DR. CORDELL L KLEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1902 MOORES LN, TEXARKANA, TX 75503-4610
(903) 792-7515
(903) 791-8645
Mailing address
5002 COWHORN CREEK RD, TEXARKANA, TX 75503-9766
(903) 614-3000
(903) 614-3525
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
F6270
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105269804
—
TX
05
—
107740001
—
AR
Enumeration date
06/09/2005
Last updated
04/08/2011
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