Dr. Corey Charles Clifford, D.O./MBA
Obstetrics & Gynecology, Maternal & Fetal Medicine in Galveston, TX. Individual provider (NPI-1).
NPI number1487097952
StatusActive
Last updated in NPPESJun 15, 2022
Details
- NPI
- 1487097952
- Entity type
- Individual (NPI-1)
- Name
- Dr. Corey Charles Clifford
- Credential
- D.O./MBA
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 15, 2013
- Certification date
- Jun 15, 2022
- Last updated
- Jun 15, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207VM0101X | Obstetrics & Gynecology, Maternal & Fetal Medicine | R1722 | TX | Yes |
| 207V00000X | Obstetrics & Gynecology | R1722 | TX |
Practice location
301 University BlvdGalveston, TX 77555-3000
Phone 409-772-0596 · Fax 713-383-1464
Mailing address
Po Box 650859 Dept 710Dallas, TX 75265-5302
Phone 409-772-0620
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