Provider Demographics
NPI:1962502500
Name:KLESMIT CHIROPRACTIC OFFICES, P.A.
Entity Type:Organization
Organization Name:KLESMIT CHIROPRACTIC OFFICES, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANN
Authorized Official - Middle Name:BEATRICE
Authorized Official - Last Name:KLESMIT
Authorized Official - Suffix:
Authorized Official - Credentials:BSN, DC
Authorized Official - Phone:972-276-7800
Mailing Address - Street 1:1441 FOREST LN
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75042-7935
Mailing Address - Country:US
Mailing Address - Phone:972-276-7800
Mailing Address - Fax:972-494-0958
Practice Address - Street 1:1441 FOREST LN
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75042-7935
Practice Address - Country:US
Practice Address - Phone:972-276-7800
Practice Address - Fax:972-494-0958
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX4349111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty