Provider Demographics
NPI:1558987321
Name:KLASS PODIATRY LLC
Entity Type:Organization
Organization Name:KLASS PODIATRY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:
Authorized Official - Last Name:LAGASSE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-550-3338
Mailing Address - Street 1:9740 BARKER CYPRESS RD STE 108B
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77433-7886
Mailing Address - Country:US
Mailing Address - Phone:281-550-3338
Mailing Address - Fax:281-550-3436
Practice Address - Street 1:9740 BARKER CYPRESS RD STE 108B
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77433-7886
Practice Address - Country:US
Practice Address - Phone:281-550-3338
Practice Address - Fax:281-550-3436
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-17
Last Update Date:2020-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty