Individual provider · NPI-1
Dr. John D Cluley, M.D.
Internal Medicine, Gastroenterology · San Marcos, TX
NPI number1790915858
StatusActive
Last updated in NPPESFeb 20, 2017
Details
- NPI
- 1790915858
- Entity type
- Individual (NPI-1)
- Name
- Dr. John D Cluley
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 22, 2009
- Last updated
- Feb 20, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RG0100X | Internal Medicine, Gastroenterology | p3616 | TX | Yes |
| 207R00000X | Internal Medicine | 125-056043 | IL | |
| 207RI0008X | Internal Medicine, Hepatology | p3616 | TX |
Practice location
1305 Wonder World DrSte 200
San Marcos, TX 78666-7546
Phone 512-754-8676
Mailing address
Po Box 35629Dallas, TX 75235-0629
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