Elliott I Clemence Mdpa in San Antonio - Specialist
Elliott I Clemence Mdpa - NPI 1639350374
Elliott I Clemence Mdpa is a Specialist in San Antonio, Texas. Elliott I Clemence Mdpa practices all healthcare services and medical treatments related to Specialist. The NPI Number for Elliott I Clemence Mdpa is 1639350374. The last update date is 2010-01-12.
Elliott I Clemence Mdpa's current location address is 7500 Barlite Blvd Ste 309, San Antonio, Texas. You can contact this provider via phone number 2109249000 and fax number 2109247300. The mailing address for Elliott I Clemence Mdpa is 7500 Barlite Blvd Ste 309, San Antonio, Texas. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Elliott I Clemence Mdpa |
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Address | 7500 Barlite Blvd Ste 309, San Antonio, Texas |
Phone Number | 2109249000 |
Fax Number | 2109247300 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PRESIDENT |
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Authorized Official Name | Clemence Irving Elliott |
Credentials | M.D. |
Telephone Number | 2109249000 |
NPI Number Detail
NPI Number | 1639350374 |
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Provider Enumeration Date | 2007-11-23 |
Last Updated Date | 2010-01-12 |
Provider Mailing Address Detail
Address | 7500 Barlite Blvd Ste 309 |
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City | San Antonio |
State | Texas (TX) |
Post Code | 782241363 |
Phone Number | 2109249000 |
Fax Number | 2109247300 |
Provider's Primary Taxonomy Detail
Speciality | Specialist |
---|---|
Taxonomy | 174400000X |
Licence No | K0004 |
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Post Comment/ Review Below
What is the Elliott I Clemence Mdpa's unique identification number?
The Elliott I Clemence Mdpa has been assigned the NPI (National Provider Identifier) Number 1639350374 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Elliott I Clemence Mdpa's facilities are situated?
The facilities of Elliott I Clemence Mdpa are physically located at the following address: 7500 Barlite Blvd Ste 309, San Antonio, TX, 782241363.
What is Elliott I Clemence Mdpa's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Elliott I Clemence Mdpa is Specialist, and the taxonomy code that categorizes this field of expertise is 174400000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1639350374 to Elliott I Clemence Mdpa?
The Centers for Medicare & Medicaid Services assigned the 1639350374 to Elliott I Clemence Mdpa on 2007-11-23.
As of what date were the details related to Elliott I Clemence Mdpa most recently updated or revised?
The information pertaining to Elliott I Clemence Mdpa, including its address, specialty, and other relevant details, was last updated or revised on 2010-01-12.
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