Cleveland Clinic Corp

NPI #1790055754 in Cleveland, Texas

Provider Information

NPI Number: 1790055754
Entity Type: Organization
Organization Name: Cleveland Clinic Corp
Primary Specialty: Family Medicine
Enumeration Date: Jan 9, 2012
Last Updated: Jan 9, 2012

Practice Location

Address: 300 E CROCKETT ST
City: Cleveland
State: Texas
ZIP Code: 77327-4029
Phone: (281) 592-3344

Authorized Official

Name: CHARLES FULNER
Title: OFFICER/DIRECTOR
Phone: (502) 777-8128

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Obstetrics & Gynecology	207V00000X
Surgery	208600000X
Urology	208800000X
Family Medicine	207Q00000X	Primary

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