Polhamus, Clinton D.

Polhamus, Clinton D. is an individual health care provider with primary practice located at 1804 Ne Loop 410 #101, San Antonio TX 78217-5211. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Polhamus, Clinton D. can be contacted via phone (210) 828-8400.

Contact Information

Primary practice address
1804 Ne Loop 410 #101 San Antonio TX 78217-5211
Phone: (210) 828-8400
Fax: (210) 804-4454
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X E8822 Texas
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X G2539 Texas

Profile Details

NPI number 1497749790
LBN Legal business name Polhamus, Clinton D.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2005
Last updated Sep 14th, 2010 - about 14 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 1497749790 NPPES
Texas MEDICAID 114369504

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