Individual
CHRISTOPHER L KLINGENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
700 E MARSHALL AVE, LONGVIEW, TX 75601-5580
(903) 315-5200
Mailing address
700 E MARSHALL AVE, LONGVIEW, TX 75601-5580
(903) 315-5200
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
M6708
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
186877002
—
TX
01
—
82109Y
BLUE CROSS
TX
01
—
M6708
LICENSE NUMBER
TX
Enumeration date
06/19/2007
Last updated
11/08/2011
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