Individual
JOHN WILLIAM CLINTON III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1200 N VIRGINIA ST, PORT LAVACA, TX 77979-2507
(361) 522-6721
Mailing address
1200 N VIRGINIA ST, PORT LAVACA, TX 77979-2507
(361) 552-6721
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
R3053
TX
Other
Enumeration date
04/08/2014
Last updated
07/19/2021
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