Clemmie Jo Deyoung, PA-C
Physician Assistant, Surgical in Temple, TX. Individual provider (NPI-1).
NPI number1609596758
StatusActive
Last updated in NPPESNov 22, 2024
Details
- NPI
- 1609596758
- Entity type
- Individual (NPI-1)
- Name
- Clemmie Jo Deyoung
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 30, 2022
- Certification date
- Nov 22, 2024
- Last updated
- Nov 22, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AS0400X | Physician Assistant, Surgical | – | – | Yes |
Other names
- Clemmie Jo Taets (Former Name)
Practice location
2401 S 31st StTemple, TX 76508-1959
Phone 254-724-2111
Mailing address
Po Box 844658Dallas, TX 75284-4658
Phone 800-994-0371 · Fax 254-215-9722
Other practice locations
204 Dale Earnhardt Dr Unit B
Harker Heights, TX 76548-1959
Harker Heights, TX 76548-1959
Phone 217-329-2316
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All 12 Surgical Physician Assistant providers in Temple · All 5,096 providers in Temple
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