Provider Demographics
NPI:1801876123
Name:KLEIN, TERREN D (MD)
Entity type:Individual
Prefix:
First Name:TERREN
Middle Name:D
Last Name:KLEIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1300 MURCHISON DR STE 310B
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79902-4853
Mailing Address - Country:US
Mailing Address - Phone:915-706-2500
Mailing Address - Fax:915-225-0109
Practice Address - Street 1:1300 MURCHISON DR
Practice Address - Street 2:STE 310
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79902-4842
Practice Address - Country:US
Practice Address - Phone:915-838-3888
Practice Address - Fax:915-838-3889
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-20
Last Update Date:2024-11-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXH5910207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX387284ZL1OtherMEDICARE PTAN INDIV
TX127810305Medicaid
TX1720497399Other2 ORGANIZATION
TX8414J0Medicare ID - Type Unspecified
TX127810305Medicaid