Individual
DR. ANDREW CHARLES CLEMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2700 CITIZENS PLZ STE 403, VICTORIA, TX 77901-5757
(361) 575-6396
(361) 578-5203
Mailing address
2700 CITIZENS PLZ STE 403, VICTORIA, TX 77901-5757
(361) 575-6396
(361) 578-5203
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
H4238
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020041472
RAILROAD MEDICARE
TX
05
—
131501204
—
TX
01
—
4331024
AETNA
TX
01
—
84251S
BLUECROSS BLUESHIELD
TX
Enumeration date
06/15/2006
Last updated
11/27/2023
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