Provider Demographics
NPI:1497396899
Name:KLEIMAN, NAZENEEM SARAH
Entity Type:Individual
Prefix:
First Name:NAZENEEM
Middle Name:SARAH
Last Name:KLEIMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22506 BRIDGEHAVEN DR
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-8213
Mailing Address - Country:US
Mailing Address - Phone:310-951-3450
Mailing Address - Fax:
Practice Address - Street 1:511A W TIDWELL RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77091-4338
Practice Address - Country:US
Practice Address - Phone:713-694-9709
Practice Address - Fax:281-618-8761
Is Sole Proprietor?:No
Enumeration Date:2019-10-07
Last Update Date:2019-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP143013363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily