Doctor Name: | MR. RAYMOND W. KLEPOSKI |
NPI Number: | 1003863911 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MSN, APN |
License Number: | 26NJ00355300 |
Business Practice Address: | 7000 W Plano Pkwy Ste 110 Plano, TX - 750938467 |
Business Phone Number: | 4695157100 |
Business Fax Number: | 2144437309 |
Mailing Address: | 2222 Welborn St, DALLAS |
State: | TX |
Postal Code: | 752193924 |
Phone Number: | 2145595000 |
Fax Number: | 2144437309 |
NPI Enumeration Date: | 05/27/2006 |
NPI Last Update Date: | 04/20/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0200X |
License Number: | 26NJ00355300 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NJ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |