Individual
BRIAN D CLEMENTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4345 NELSON RD STE 201, LAKE CHARLES, LA 70605-4183
(337) 494-6800
(337) 494-6811
Mailing address
PO BOX 122205, DEPT 2205, DALLAS, TX 75312-2205
(337) 494-2921
(337) 494-6523
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
L020825
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1967351
—
LA
Enumeration date
11/05/2006
Last updated
04/29/2022
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