Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | M8609 | TX |
NPI | 1104008952 |
---|---|
Provider Name | Dr. Chelsea I. Clinton |
First Address | Helotes, TX 78023-4498 |
Second Address | San Antonio, TX 78258-4204 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/12/2007 |
Last Update Date | 05/09/2012 |