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Michael Neill Clemenshaw, MD
Diagnostic Radiology Physician in Fort Sam Houston, Texas
NPI 1053531368

Michael Neill Clemenshaw is a Diagnostic Radiology Physician based in Fort Sam Houston, TX and is specialized in Diagnostic Radiology. Michael Neill Clemenshaw practices in Fort Sam Houston, TX and has the professional credentials of MD. The NPI Number for Michael Neill Clemenshaw is 1053531368 and holds a License No. P2216 (Texas).

The current practice location address for Michael Neill Clemenshaw is 3551 Roger Brooke Dr, Fort Sam Houston, TX and can be reached out via phone at 210-916-4188.

Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX, 78234-4504
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053531368
Provider Name
Michael Neill Clemenshaw
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3551 Roger Brooke Dr, Fort Sam Houston, TX, 78234-4504
Phone Number
210-916-4188
Fax Number
Provider Enumeration Date
04/27/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
83825 01 GA GEORGIA MEDICAL LICENSE
003226229A 05 GA
institution
Provider Business Practice Location Address Details
Address
3551 Roger Brooke Dr
City
Fort Sam Houston
State
Texas
Zip
78234-4504
Phone Number
210-916-4188
Fax Number
person
Provider Business Mailing Address Details
Address
3551 Roger Brooke Dr
City
Fort Sam Houston
State
Texas
Zip
78234-4504
Phone Number
210-916-4188
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Nuclear Medicine
Speciality
Nuclear Imaging & Therapy
Taxonomy
207UN0902X
License No.
P2216 (Texas)
Definition
A nuclear medicine physician who specializes in nuclear imaging and therapy.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
P2216 (Texas)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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