Individual
CONNIE L KLEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1776 YORKTOWN ST, 150, HOUSTON, TX 77056-4182
(713) 572-8122
Mailing address
PO BOX 301173, DALLAS, TX 75303-1173
(713) 500-3500
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
638721
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
160591701
—
TX
01
—
8N4450
BCBS
TX
Enumeration date
07/03/2006
Last updated
07/28/2016
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