Provider Demographics
NPI:1174102099
Name:KLAERNER, CALLIE (MD)
Entity type:Individual
Prefix:
First Name:CALLIE
Middle Name:
Last Name:KLAERNER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2012 CUSTER PKWY
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75080-3403
Mailing Address - Country:US
Mailing Address - Phone:214-708-0380
Mailing Address - Fax:
Practice Address - Street 1:3900 JUNIUS ST STE 145
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75246-1616
Practice Address - Country:US
Practice Address - Phone:214-377-1699
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-07
Last Update Date:2025-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXV6975207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology