Klinkerman, Milete Clark

Klinkerman, Milete Clark is an individual health care provider with primary practice located at 1100 Gulf Fwy S Ste 114 , League City TX 77573-5148. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Klinkerman, Milete Clark can be contacted via phone (281) 338-4497.

Contact Information

Primary practice address
1100 Gulf Fwy S Ste 114 League City TX 77573-5148
Phone: (281) 338-4497
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 5412TG Texas

Profile Details

NPI number 1942344452
LBN Legal business name Klinkerman, Milete Clark
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 16th, 2007
Last updated Mar 30th, 2021 - about 3 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 1942344452 NPPES
Texas MEDICAID 391889801

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