Tracy Lee Klimisch is a Medical in Pasadena, Texas. Tracy Lee Klimisch practices all healthcare services and medical treatments related to Medical. The NPI Number for Tracy Lee Klimisch is 1205931219. The last update date is 2007-07-08.
Tracy Lee Klimisch's current location address is 3801 Vista Rd Ste 100, Pasadena, Texas. You can contact this provider via phone number 7138442400 and fax number 7138442480. The mailing address for Tracy Lee Klimisch is 3801 Vista Rd Ste 100, Pasadena, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tracy Lee Klimisch |
|---|---|
| Address | 3801 Vista Rd Ste 100, Pasadena, Texas |
| Phone Number | 7138442400 |
| Fax Number | 7138442480 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1205931219 |
|---|---|
| Provider Enumeration Date | 2006-09-14 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3801 Vista Rd Ste 100 |
|---|---|
| City | Pasadena |
| State | Texas (TX) |
| Post Code | 775042160 |
| Phone Number | 7138442400 |
| Fax Number | 7138442480 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | PA02034 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| PA02034 | TX | PA-C LICENSE |
Post Comment/ Review Below
What is the Tracy Lee Klimisch's 1205931219?
The Tracy Lee Klimisch's NPI (National Provider Identifier) Number is 1205931219. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Tracy Lee Klimisch's facilities are geographically located?
The facilities of Tracy Lee Klimisch are physically situated at the following location: 3801 Vista Rd Ste 100, Pasadena, TX, 775042160.
What is Tracy Lee Klimisch's specialized field of practice, and what is the corresponding taxonomy classification code?
The Tracy Lee Klimisch's area of specialization is Medical, and the corresponding taxonomy code that categorizes this field of practice is 363Am0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1205931219 to Tracy Lee Klimisch?
The Centers for Medicare & Medicaid Services assigned the 1205931219 to Tracy Lee Klimisch on 2006-09-14.
As of what date was the information pertaining to Tracy Lee Klimisch, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Tracy Lee Klimisch, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.