Individual
DR. WESLEY ALLEN CLARKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1715 MCCULLOUGH AVE, FL 2, SAN ANTONIO, TX 78212-4046
(210) 408-1613
(210) 408-1613
Mailing address
1715 MCCULLOUGH AVE, FL 2, SAN ANTONIO, TX 78212-4046
(210) 408-1613
(210) 408-1613
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
2002010420
MO
207RC0000X
Cardiovascular Disease Physician
Primary
N4356
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
288295301
—
TX
01
—
8DC182
BCBS
TX
Enumeration date
02/02/2006
Last updated
09/14/2021
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