Provider Demographics
NPI:1194887604
Name:KLAFF, MARK F (OD)
Entity type:Individual
Prefix:DR
First Name:MARK
Middle Name:F
Last Name:KLAFF
Suffix:
Gender:M
Credentials:OD
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Mailing Address - Street 1:7500 BEECHNUT ST STE 175
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074-4399
Mailing Address - Country:US
Mailing Address - Phone:832-955-8162
Mailing Address - Fax:832-787-0142
Practice Address - Street 1:7500 BEECHNUT ST STE 175
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-4399
Practice Address - Country:US
Practice Address - Phone:832-955-8162
Practice Address - Fax:832-787-0105
Is Sole Proprietor?:No
Enumeration Date:2006-12-14
Last Update Date:2024-10-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX3063T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX208243001Medicaid