Individual
CLIFFORD C DACSO
Active
Individual
CLIFFORD C DACSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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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