Provider Demographics
NPI:1063831782
Name:ALAN M KLEIN, MD, PA
Entity Type:Organization
Organization Name:ALAN M KLEIN, MD, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:M
Authorized Official - Last Name:KLEIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:214-537-9593
Mailing Address - Street 1:6611 HILLCREST AVE
Mailing Address - Street 2:PO BOX 2B4
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75205-1301
Mailing Address - Country:US
Mailing Address - Phone:214-537-9593
Mailing Address - Fax:214-526-9634
Practice Address - Street 1:3516 EUCLID AVE
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75205-3214
Practice Address - Country:US
Practice Address - Phone:214-537-9593
Practice Address - Fax:214-526-9634
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-09
Last Update Date:2014-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF27552080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal MedicineGroup - Single Specialty