Clarkson, Wesley Allen
Clarkson, Wesley Allen is an individual health care provider with primary practice located at 1715 Mccullough Ave Fl 2, San Antonio TX 78212-4046. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Clarkson, Wesley Allen can be contacted via phone (210) 408-1613.Contact Information
Primary practice address
1715 Mccullough Ave Fl 2
San Antonio TX 78212-4046
Phone: (210) 408-1613
Fax: (210) 408-1613
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 2002010420 | Missouri |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | N4356 | Texas |
Profile Details
| NPI number | 1073585188 |
|---|---|
| LBN Legal business name | Clarkson, Wesley Allen |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 2nd, 2006 |
| Last updated | Sep 14th, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073585188 | NPPES |
| Texas | MEDICAID | 288295301 | |
| Texas | Other | 8DC182 |
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