Organization
JOHN B. CLEMMONS, JR., M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN CLEMMONS JR. (OWNER/PHYSICIAN)
(713) 528-6562
Entity
Organization
Contact information
Practice address
1213 HERMANN DR STE 220, HOUSTON, TX 77004-7009
(713) 528-6562
(713) 528-1045
Mailing address
1213 HERMANN DR STE 220, HOUSTON, TX 77004-7009
(713) 528-6562
(713) 528-1045
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
G0677
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
035370801
—
TX
Enumeration date
03/24/2011
Last updated
02/08/2022
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