Provider Demographics
NPI:1831621168
Name:KLINGEN, JOSEPH TAYLOR (MD)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:TAYLOR
Last Name:KLINGEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1111 MEDICAL PLAZA DR STE 170
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77380-3477
Mailing Address - Country:US
Mailing Address - Phone:281-444-1303
Mailing Address - Fax:281-444-5161
Practice Address - Street 1:1111 MEDICAL PLAZA DR STE 170
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77380-3477
Practice Address - Country:US
Practice Address - Phone:281-444-1303
Practice Address - Fax:281-444-5161
Is Sole Proprietor?:No
Enumeration Date:2017-03-27
Last Update Date:2022-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
TXT4777207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX2J2459OtherMEDICARE