Klintmalm, Goran B. G.

Klintmalm, Goran B. G. is an individual health care provider with primary practice located at 3410 Worth St Suite 950, Dallas TX 75246-2003. He recently has only one registered license in Allopathic & Osteopathic Physicians / Transplant Surgery, which is considered as his primary health care specialty. Klintmalm, Goran B. G. can be contacted via phone (214) 820-2050.

Contact Information

Primary practice address
3410 Worth St Suite 950 Dallas TX 75246-2003
Phone: (214) 820-2050
Fax: (214) 818-6491
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Transplant Surgery 204F00000X G7835 Texas

Profile Details

NPI number 1245260280
LBN Legal business name Klintmalm, Goran B. G.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 4th, 2006
Last updated Oct 20th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245260280 NPPES
Texas MEDICAID 041146403
Texas Other 8H3710
Texas MEDICAID 041146404

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