Provider Demographics
NPI:1003258856
Name:KLAPPHOLZ, ERIC MATHEW (NP-C)
Entity type:Individual
Prefix:MR
First Name:ERIC
Middle Name:MATHEW
Last Name:KLAPPHOLZ
Suffix:
Gender:M
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3500 OAK LAWN AVE STE 700
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75219-6719
Mailing Address - Country:US
Mailing Address - Phone:214-521-0100
Mailing Address - Fax:214-521-0104
Practice Address - Street 1:3500 OAK LAWN AVE STE 700
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75219-6719
Practice Address - Country:US
Practice Address - Phone:214-521-0100
Practice Address - Fax:214-521-0104
Is Sole Proprietor?:No
Enumeration Date:2013-07-22
Last Update Date:2023-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX717755363LA2200X
TXAP124077363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health