Individual
LEE M CLINTSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CAA
Contact information
Practice address
1935 MEDICAL DISTRICT DR, DALLAS, TX 75235-7701
(214) 456-6090
Mailing address
1935 MEDICAL DISTRICT DR, DALLAS, TX 75235-7701
(214) 456-6090
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
100
WI
367H00000X
Anesthesiologist Assistant
Primary
1102
TX
Other
Enumeration date
03/28/2011
Last updated
11/28/2022
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