NPI 1033506456
Klr Physician Group
Practice location
- Address
- 3450 E. Broad Street Suite 120, Mansfield, TX 76063-7606
- Phone
- (267) 981-0308
- Mailing address
- 3540 E Broad St STE 120, Mansfield, TX 76063-5633
Authorised official
- Name
- Kellee L Randle
- Title
- Ceo
- Phone
- (267) 981-0308
Registered specialties
Nursing Facility/Intermediate Care Facility
Primary
Registry record
- NPI
- 1033506456
- Entity type
- Organization
- NPI issued
- 23 Apr 2015
- Record last updated
- 11 Sep 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.