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Organization

CURTIS P. CLOGSTON, MD, JD, PA

Active
Parent organization
CURTIS P. CLOGSTON, MD, JD, PA
Other names
Corridor Medical Clinic
Organization subpart
Yes

Provider details

NPI number
Legal business name
CURTIS P. CLOGSTON, MD, JD, PA
Authorized official
CURTIS P. CLOGSTON MD, JD (MEDICAL DIRECTOR)
(512) 392-5556
Entity
Organization

Contact information

Practice address
1348 HIGHWAY 123, SUITE A, SAN MARCOS, TX 78666-7836
(512) 392-5556
(512) 392-8828
Mailing address
1348 HIGHWAY 123, SUITE A, SAN MARCOS, TX 78666-7836
(512) 392-5556
(512) 392-8828

Taxonomy

Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
MDF1457TX
TX
225100000X
Physical Therapist
PT1140044TX
TX
363LF0000X
Family Nurse Practitioner
660250
TX

Other

Enumeration date
07/26/2007
Last updated
08/19/2008
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