Provider Demographics
NPI:1508820283
Name:KLAWITTER, ART L (MD)
Entity Type:Individual
Prefix:DR
First Name:ART
Middle Name:L
Last Name:KLAWITTER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2100 REGIONAL MEDICAL DR
Mailing Address - Street 2:
Mailing Address - City:WHARTON
Mailing Address - State:TX
Mailing Address - Zip Code:77488-9719
Mailing Address - Country:US
Mailing Address - Phone:979-532-1700
Mailing Address - Fax:979-532-6746
Practice Address - Street 1:3006 SCHOOL ST
Practice Address - Street 2:
Practice Address - City:NEEDVILLE
Practice Address - State:TX
Practice Address - Zip Code:77461-8443
Practice Address - Country:US
Practice Address - Phone:979-793-4114
Practice Address - Fax:979-793-3114
Is Sole Proprietor?:No
Enumeration Date:2006-04-12
Last Update Date:2012-12-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXF1715207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8DE533OtherBC/BS #
TXMDF1715TXOtherWORKERS COMPENSATION
TX80051860OtherRAILROAD GBA - RAILROAD MEDICARE
TX128626205Medicaid
TX128626209Medicaid
TXP01090496OtherRAILROAD MEDICARE PTAN
TX82T780OtherBC/BS TX #
TX128626205Medicaid
TX80051860OtherRAILROAD GBA - RAILROAD MEDICARE
TX82T780OtherBC/BS TX #