Provider Demographics
NPI:1003863911
Name:KLEPOSKI, RAYMOND W III (MSN, APN)
Entity type:Individual
Prefix:MR
First Name:RAYMOND
Middle Name:W
Last Name:KLEPOSKI
Suffix:III
Gender:M
Credentials:MSN, APN
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Mailing Address - Street 1:2222 WELBORN ST
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75219-3924
Mailing Address - Country:US
Mailing Address - Phone:214-559-5000
Mailing Address - Fax:214-443-7309
Practice Address - Street 1:5700 DALLAS PKWY
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-9580
Practice Address - Country:US
Practice Address - Phone:469-515-7100
Practice Address - Fax:214-443-7309
Is Sole Proprietor?:No
Enumeration Date:2006-05-27
Last Update Date:2019-03-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PA26NR15716600163W00000X
PARN513438L163W00000X
PATP006788D363LP0200X
TX844835363LP0200X
NJ26NJ00355300363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No163W00000XNursing Service ProvidersRegistered Nurse