Individual
MICHAEL E CLEVENGER
Active
Individual
MICHAEL E CLEVENGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
E4264
AR
2084N0400X
Neurology Physician
J8964
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
047792901
—
TX
05
—
127758001
—
AR
Enumeration date
07/29/2005
Last updated
04/02/2020
Update your record
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