Organization
ELLIOTT I CLEMENCE MDPA
Active
Other names
Elliott I Clemence MD PA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELLIOTT IRVING CLEMENCE III M.D. (PRESIDENT)
(210) 924-9000
Entity
Organization
Contact information
Practice address
7500 BARLITE BLVD STE 309, SAN ANTONIO, TX 78224-1363
(210) 924-9000
(210) 924-7300
Mailing address
7500 BARLITE BLVD STE 309, SAN ANTONIO, TX 78224-1363
(210) 924-9000
(210) 924-7300
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
K0004
TX
Other
Enumeration date
11/23/2007
Last updated
01/12/2010
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