Individual
MR. CAMERON DARIUS CLEMENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3880 ROGER BROOKE DR., C/O GENERAL SURGERY DEPT/SAMMC, FORT SAM HOUSTON, TX 78234-8548
(509) 590-8908
Mailing address
21327 LA PENA DR, SAN ANTONIO, TX 78258-2939
(509) 590-8908
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1050306
NCCPA CERTIFICATION
—
Enumeration date
07/20/2006
Last updated
03/01/2021
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