Organization
CLOVER OXYGEN PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELAINE PHUAH DO (PHYSICIAN/CEO)
(817) 386-3632
Entity
Organization
Contact information
Practice address
252 BAILEY RANCH ROAD, STE 100, ALEDO, TX 76008
(817) 386-3632
Mailing address
800 8TH AVE STE 506, FORT WORTH, TX 76104-2604
(214) 336-7643
(866) 245-0073
Taxonomy
Speciality
Code
Description
License number
State
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
Primary
—
—
Other
Enumeration date
02/10/2023
Last updated
04/29/2024
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