Provider Demographics
NPI:1689673568
Name:KLEIN, MILTON SAMUEL (MD)
Entity Type:Individual
Prefix:
First Name:MILTON
Middle Name:SAMUEL
Last Name:KLEIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6400 FANNIN ST
Mailing Address - Street 2:SUITE 3000
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-1527
Mailing Address - Country:US
Mailing Address - Phone:713-790-0841
Mailing Address - Fax:713-790-1350
Practice Address - Street 1:6400 FANNIN ST
Practice Address - Street 2:SUITE 3000
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-1527
Practice Address - Country:US
Practice Address - Phone:713-790-0841
Practice Address - Fax:713-790-1350
Is Sole Proprietor?:No
Enumeration Date:2005-07-21
Last Update Date:2011-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF4909207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX86X610OtherBCBS
TX060051568OtherRAILROAD MEDICARE
TX83618KOtherBCBS
TX118167901Medicaid
TX060027614OtherRR MEDICARE
TX118167904Medicaid
TX118167903Medicaid
TX060027614Medicare PIN
TX060051568OtherRAILROAD MEDICARE
TX86X610OtherBCBS
TX118167904Medicaid
TX060027614OtherRR MEDICARE