Provider Demographics
NPI:1659717361
Name:KLAUS, BART (MD)
Entity Type:Individual
Prefix:
First Name:BART
Middle Name:
Last Name:KLAUS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:109 SHULT DR
Mailing Address - Street 2:SUITE 102
Mailing Address - City:COLUMBUS
Mailing Address - State:TX
Mailing Address - Zip Code:78934-3009
Mailing Address - Country:US
Mailing Address - Phone:979-732-5794
Mailing Address - Fax:979-732-5795
Practice Address - Street 1:109 SHULT DR
Practice Address - Street 2:SUITE 102
Practice Address - City:COLUMBUS
Practice Address - State:TX
Practice Address - Zip Code:78934-3009
Practice Address - Country:US
Practice Address - Phone:979-732-5794
Practice Address - Fax:979-732-5795
Is Sole Proprietor?:No
Enumeration Date:2013-05-21
Last Update Date:2022-07-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
390200000X
TXQ1434207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program