Provider Demographics
NPI:1124355409
Name:KLEIN, HOWARD Y (RPH)
Entity type:Individual
Prefix:MR
First Name:HOWARD
Middle Name:Y
Last Name:KLEIN
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4702 N JIM MILLER RD
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75227-2801
Mailing Address - Country:US
Mailing Address - Phone:214-388-4951
Mailing Address - Fax:214-381-2863
Practice Address - Street 1:4702 N JIM MILLER RD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75227-2801
Practice Address - Country:US
Practice Address - Phone:214-388-4951
Practice Address - Fax:214-381-2863
Is Sole Proprietor?:No
Enumeration Date:2009-11-08
Last Update Date:2009-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX28111183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist