Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111N00000X | Chiropractor | 2888 | TX |
Y | 111NN1001X | Nutrition | 2888 | TX |
NPI | 1538308317 |
---|---|
Provider Name | Dr. Steven Barry Klayman |
First Address | Austin, TX 78737-8500 |
Second Address | Austin, TX 78737-8523 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/02/2009 |
Last Update Date | 06/10/2009 |