Individual
MR. DALLIS JELANI CLENDENINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6411 FANNIN ST, HOUSTON, TX 77030-1501
(713) 500-6200
Mailing address
6431 FANNIN ST, HOUSTON, TX 77030-1501
(713) 500-6200
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
A147927
CA
207L00000X
Anesthesiology Physician
Primary
R2074
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/02/2013
Last updated
03/23/2017
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