Provider Demographics
NPI:1467569004
Name:KLEIN, NORA J (MD)
Entity Type:Individual
Prefix:
First Name:NORA
Middle Name:J
Last Name:KLEIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4050 TARTAN LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77025-2919
Mailing Address - Country:US
Mailing Address - Phone:713-664-0934
Mailing Address - Fax:
Practice Address - Street 1:1213 HERMANN DR
Practice Address - Street 2:SUITE 550
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77004-7018
Practice Address - Country:US
Practice Address - Phone:713-807-8921
Practice Address - Fax:713-529-6195
Is Sole Proprietor?:No
Enumeration Date:2006-08-23
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG4628208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX50053646OtherDPS
TX044666801Medicaid
TXAK4587150OtherDEA
TX50053646OtherDPS