Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN0400X | Neurology | 9619 | TX |
NPI | 1427232958 |
---|---|
Provider Name | Chad Matthew Klein |
First Address | San Antonio, TX 78216-4660 |
Second Address | San Antonio, TX 78216-4660 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/12/2007 |
Last Update Date | 19/12/2007 |