Most Relevant Information
Provider Data
NPI Number: | 1003328212 |
Provider Name: | CROSS DONALD KLEMKO BS |
Entity Type: | Individual |
Taxonomy Code: | 2255A2300X |
Specialty: | Specialist/Technologist |
License Number: |
Most Important Dates
Enumeration Date: | 10/27/2017 |
Last Updated: | 10/27/2017 |
Provider Practice Location
400 BIZZELL ST
COLLEGE STATION
TX
778430001
Practice Location Phone/Fax
Phone: | 9798455129 |
Fax: |
Provider Mailing Location
400 MARION PUGH DR APT 1502
COLLEGE STATION
TX
778402739
Provider Mailing Phone/Fax
Phone: | 3015181706 |
Fax: |