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Dr. Clive Polon, MD
Obstetrics & Gynecology Physician in Austin, Texas
NPI 1962476762

Clive Polon is a Obstetrics & Gynecology Physician based in Austin, TX. Clive Polon practices in Austin, TX and has the professional credentials of MD. The NPI Number for Clive Polon is 1962476762 and holds a License No. K1001 (Texas).

The current practice location address for Clive Polon is 900 E 30Th St, Austin, TX and can be reached out via phone at 512-476-9699. You can also correspond with Clive Polon through the mailing address at 1601 TRINITY ST STOP Z0200, AUSTIN, TX - 78712-1850 (mailing address contact number: 512-495-5512).

Location: 900 E 30Th St, Austin, TX, 78712-1850
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962476762
Provider Name
Clive Polon
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
900 E 30Th St, Austin, TX, 78712-1850
Phone Number
512-476-9699
Fax Number
Provider Enumeration Date
02/16/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0035BJ 01 TX BCBS PROVIDER ID
10007154 01 TX AMERIGROUP PROVIDER ID
113461103 05 TX
institution
Provider Business Practice Location Address Details
Address
900 E 30Th St
City
Austin
State
Texas
Zip
78705-3326
Phone Number
512-476-9699
Fax Number
person
Provider Business Mailing Address Details
Address
900 E 30Th St
City
Austin
State
Texas
Zip
78705-3326
Phone Number
512-476-9699
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
K1001 (Texas)
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
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