Individual
CLEMENT A DEFELICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6550 FANNIN ST, STE 2021, HOUSTON, TX 77030-2717
(713) 790-9125
(713) 790-1802
Mailing address
6550 FANNIN ST, SUITE 2021, HOUSTON, TX 77030-2717
(713) 790-9125
(713) 790-1802
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
H4899
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060008296
RAILROAD MEDICARE
TX
05
—
97286101
—
TX
Enumeration date
12/01/2005
Last updated
06/26/2008
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