Woosley, Clinton R
Woosley, Clinton R is an individual health care provider with primary practice located at 4502 Medical Dr , San Antonio TX 78229-4402. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine. Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine is his primary health care specialty. Woosley, Clinton R can be contacted via phone (210) 743-2100.Contact Information
Primary practice address
4502 Medical Dr
San Antonio TX 78229-4402
Phone: (210) 743-2100
Fax: (210) 702-6215
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | L7263 | Texas |
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine | 2080P0203X | MD2017-0116 | New Mexico |
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine | 2080P0203X | L7263 | Texas |
Profile Details
NPI number | 1316952088 |
---|---|
LBN Legal business name | Woosley, Clinton R |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 30th, 2006 |
Last updated | Aug 7th, 2023 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1316952088 | NPPES |
Texas | Other | 163061816 | CSHCN |
Texas | MEDICAID | 163061815 | CSHCN |
Texas | Other | 163061801 | CSHCN |
Texas | MEDICAID | 163061802 | CSHCN |
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