Provider Demographics
NPI:1023075512
Name:KLEIN PHYSICAL THERAPY CENTER, LLC
Entity type:Organization
Organization Name:KLEIN PHYSICAL THERAPY CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:SUZANNE
Authorized Official - Middle Name:R
Authorized Official - Last Name:HILL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-320-9811
Mailing Address - Street 1:7333 OAKWOOD GLEN BLVD
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77379-4740
Mailing Address - Country:US
Mailing Address - Phone:281-320-9811
Mailing Address - Fax:281-251-3058
Practice Address - Street 1:7333 OAKWOOD GLEN BLVD
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77379-4740
Practice Address - Country:US
Practice Address - Phone:281-320-9811
Practice Address - Fax:281-251-3058
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX17MXOtherBCBS OF TEXAS