Individual
CHRISTIANNE MICHELLE CLIFFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2200 BERGQUIST DR STE 1, LACKLAND A F B, TX 78236-9908
(530) 613-4636
Mailing address
10627 LYNX RANGE, SAN ANTONIO, TX 78251-4021
(530) 613-4636
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
02003795A
IN
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
06/23/2009
Last updated
01/04/2013
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