Provider Demographics
NPI:1649387374
Name:KLAYBOR, MICHAEL (EDD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:
Last Name:KLAYBOR
Suffix:
Gender:M
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5151 SAN FELIPE ST.
Mailing Address - Street 2:SUITE 1470
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77056
Mailing Address - Country:US
Mailing Address - Phone:713-621-2490
Mailing Address - Fax:
Practice Address - Street 1:5151 SAN FELIPE ST
Practice Address - Street 2:SUITE 1470
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77056-3607
Practice Address - Country:US
Practice Address - Phone:713-621-2490
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX224101YA0400X
TX8900101YP2500X
TX243106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist