# CLENDENIN MD LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629967864
- **Authorized official:** ROBERT KEELE CLENDENIN MD (OWNER/PHYSICIAN)
- **Authorized official phone:** (321) 220-5000

## Contact information

- **Practice address:** 1081 N BRYANT AVE, EDMOND, OK 73034-3208
- **Practice address phone:** (737) 333-2400
- **Practice address fax:** (405) 785-3622
- **Mailing address:** 2028 E BEN WHITE BLVD STE 240-7980, AUSTIN, TX 78741-6966
- **Mailing address phone:** (737) 333-2400
- **Mailing address fax:** (405) 622-4004

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/01/2025
- **Last updated:** 07/01/2025