Individual
CLIFFORD C DACSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6560 FANNIN ST, SCURLOCK TOWER, SUITE 1150, HOUSTON, TX 77030-2761
(713) 441-2750
Mailing address
6620 MAIN ST, MS BCM 621, HOUSTON, TX 77030-2348
(713) 798-2363
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD21919
ME
207RI0200X
Infectious Disease Physician
E6311
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8R0538
BLUE CROSS BLUE SHIELD
TX
Enumeration date
06/25/2006
Last updated
11/28/2023
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