Provider Demographics
NPI:1184902140
Name:EYTING, KLAUS FRIEDEMANN
Entity type:Individual
Prefix:MR
First Name:KLAUS
Middle Name:FRIEDEMANN
Last Name:EYTING
Suffix:
Gender:M
Credentials:
Other - Prefix:MR
Other - First Name:KLAUS
Other - Middle Name:
Other - Last Name:EYTING
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:ATP
Mailing Address - Street 1:1104 W 34TH ST
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78705-1908
Mailing Address - Country:US
Mailing Address - Phone:512-458-4589
Mailing Address - Fax:512-454-9521
Practice Address - Street 1:1104 W 34TH ST
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78705-1908
Practice Address - Country:US
Practice Address - Phone:512-458-4589
Practice Address - Fax:512-454-9521
Is Sole Proprietor?:No
Enumeration Date:2011-07-25
Last Update Date:2011-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX74-2556119247200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other