Individual
MICHAEL NEILL CLEMENSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
(210) 916-4188
Mailing address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
(210) 539-9582
Taxonomy
Speciality
Code
Description
License number
State
207UN0902X
Nuclear Imaging & Therapy Physician
P2216
TX
2085R0202X
Diagnostic Radiology Physician
Primary
P2216
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003226229A
—
GA
01
—
83825
GEORGIA MEDICAL LICENSE
GA
Enumeration date
04/27/2007
Last updated
10/03/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us