P Praxis·MD
● Active Type 2 · Organization

Klr Physician Group

Nursing Facility/Intermediate Care Facility·Mansfield, TX· NPI 1033506456 · Enumerated 2015 · 11 years on NPI
Klr Physician Group is 1 of 201 nursing facility/intermediate care facility organizations in Texas.
NPI age
11 years
Enumerated 2015-04-23
Primary specialty
Nursing Facility/Intermediate Care Facility
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Randle
Ceo
Last NPPES update
2025-09-11
Source: monthly bulk 2026-05

How this organization compares

Across 201 active nursing facility/intermediate care facility providers in Texas.

NPI age
11 years
↓ 8 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2015 → 2026

2015-04Enumerated in NPPES
2015 2026

Where they practice

Primary practice location
3450 E. Broad Street, Suite 120
Mansfield, TX 760637606
📞 2679810308
Mailing address
3540 E Broad St Ste 120
Mansfield, TX 760635633

Authorized official

Kellee L Randle, DO
Ceo
📞 2679810308

Specialties

  • Nursing Facility/Intermediate Care Facility Primary
    An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation...
    TX license #P3570 taxonomy 313M00000X

Other names on file (2)

Doing-business-as, former, and alternate names recorded by NPPES.

  • The KLR Physician Group
    Type code 4 recorded 2022-09-27
  • The KLR Physician Group
    Type code 4 recorded 2022-09-23

Practice context

Single-site organization. Only one practice location on file.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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