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KLR PHYSICIAN GROUP
NPI 1033506456
Nursing Facility/Intermediate Care Facility in Mansfield, TX

Active since April 23, 2015
3450 E. BROAD STREET, SUITE 120, MANSFIELD, TX 76063(267) 981-0308 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 11, 2025, Sep 27, 2022 (2 updates tracked since 2022).

About Klr Physician Group NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KLR PHYSICIAN GROUP (NPI 1033506456), doing business as The Klr Physician Group, is a healthcare organization registered as a nursing facility/intermediate care facility in Mansfield, Texas and active in the NPI registry since April 2015. The organization lists Kellee L Randle, Ceo, as its authorized official.

NPPES Registry Identity

NPI1033506456
Entity TypeOrganization
Primary Taxonomy313M00000X
Legal Business NameKLR PHYSICIAN GROUP
Location Address3450 E. BROAD STREET, SUITE 120Mansfield, TX 76063-7606
Mailing Address3540 E Broad St Ste 120Mansfield, TX 76063-5633
Phone(267) 981-0308
Organization SubpartNo
Authorized OfficialKellee L RandleCeo · (267) 981-0308
Enumeration DateApril 23, 2015
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 23, 2022
✔ NPI 1033506456 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities
Taxonomy Code313M00000X
License✔ Licensed in TX · P3570
Definition
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 services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
3450 E. BROAD STREET, Mansfield, TX 76063
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Other Names 1

Former Legal Business NameThe Klr Physician Group

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Klr Physician Group's NPI number?

The NPI number for Klr Physician Group is 1033506456. It was assigned to this organization in the NPPES registry on April 23, 2015. The provider was formerly known as The KLR Physician Group.

Where is Klr Physician Group located?

Klr Physician Group is located at 3450 E. Broad Street Suite 120, Mansfield, TX 76063. The listed phone number is (267) 981-0308.

What is Klr Physician Group's specialty?

The primary specialty registered for this NPI is Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

When was this NPI record last updated?

The NPPES record for Klr Physician Group was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.