Clemmons, Andrew Charles

Clemmons, Andrew Charles is an individual health care provider with primary practice located at 2700 Citizens Plz Ste 403 , Victoria TX 77901-5757. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Clemmons, Andrew Charles can be contacted via phone (361) 575-6396.

Contact Information

Primary practice address
2700 Citizens Plz Ste 403 Victoria TX 77901-5757
Phone: (361) 575-6396
Fax: (361) 578-5203
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X H4238 Texas

Profile Details

NPI number 1013951763
LBN Legal business name Clemmons, Andrew Charles
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2006
Last updated Nov 27th, 2023 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013951763 NPPES
Texas Other 020041472 RAILROAD MEDICARE
Texas MEDICAID 131501204 RAILROAD MEDICARE
Texas Other 84251S RAILROAD MEDICARE
Texas Other 4331024 RAILROAD MEDICARE

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