Thea Klaas, PA-C
Physician Assistant in Dallas, TX. Individual provider (NPI-1).
NPI number1124456512
StatusActive
Last updated in NPPESJan 26, 2021
Details
- NPI
- 1124456512
- Entity type
- Individual (NPI-1)
- Name
- Thea Klaas
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 22, 2013
- Certification date
- Jan 26, 2021
- Last updated
- Jan 26, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA08964 | TX | Yes |
| 363A00000X | Physician Assistant | – | – |
Practice location
5323 Harry Hines BlvdDallas, TX 75390-7201
Phone 214-648-6400 · Fax 214-648-5461
Mailing address
Po Box 845347Dallas, TX 75284-5347
Phone 469-291-3369 · Fax 214-645-0078
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