Individual
DR. CLYDE CORWIN CLYBOURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1211B E CLIFF DR, EL PASO, TX 79902-4734
(915) 591-6226
(915) 308-9433
Mailing address
6101 BLUE LAGOON DR STE 200, MIAMI, FL 33126-3168
(844) 630-0700
(877) 374-1924
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
M7914
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
193932408
—
TX
01
—
714478
MEDICARE
—
Enumeration date
10/18/2006
Last updated
09/19/2023
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