Individual
DR. CONSTANCE O'BRYAN CLEAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M. D.
Contact information
Practice address
302 UNIVERSITY BLVD, ROUND ROCK, TX 78665-1032
(512) 509-0200
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-8800
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
M9218
TX
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
036.117661
IL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
M9218
TX
Other
Enumeration date
05/23/2008
Last updated
01/13/2021
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