Willingham, Alex Clark

Willingham, Alex Clark is an individual health care provider with primary practice located at 16023 Via Shavano , San Antonio TX 78249-2374. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Willingham, Alex Clark can be contacted via phone (210) 615-2225.

Contact Information

Primary practice address
16023 Via Shavano San Antonio TX 78249-2374
Phone: (210) 615-2225
Fax: (210) 615-8432
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X H1249 Texas

Profile Details

NPI number 1558342634
LBN Legal business name Willingham, Alex Clark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2005
Last updated May 15th, 2024 - about last year

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 1558342634 NPPES
Texas MEDICAID 1348369-02
Texas Other H1249

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