Organization · Type 2 NPI
Jonathan M Kletz DPM P A
Foot & Ankle Surgery Podiatrist · Athens, TX
NPI number
1366611006
Active
Practice location
514 E Corisicana St Ste B
Athens, TX 75751-2506
Fax (903) 677-9091
Mailing address
6760 Abrams Rd, Ste 203
Dallas, TX 75231-0246
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | 1102 (TX) |
Foot & Ankle Surgery Podiatrist: Definition to come...
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About NPI 1366611006
Jonathan M Kletz DPM P A's National Provider Identifier is 1366611006, issued on Feb 27, 2008. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Athens, TX. The record was last updated on Apr 24, 2008.