Individual
JOSHUA GLEN CLEMENTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RSA
Contact information
Practice address
10039 BISSONNET ST STE 250, HOUSTON, TX 77036-7852
(815) 545-7750
Mailing address
30907 CORRECT CRAFT LN, WILMINGTON, IL 60481-2147
(815) 545-7750
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
238.000287
IL
246ZS0410X
Surgical Technologist
Primary
238.000287
IL
363AS0400X
Surgical Physician Assistant
238.000287
IL
Other
Enumeration date
06/10/2011
Last updated
04/05/2013
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