Provider Demographics
NPI:1649300351
Name:CLEMENT, EARL J II (MD)
Entity type:Individual
Prefix:
First Name:EARL
Middle Name:J
Last Name:CLEMENT
Suffix:II
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:8011 GLENFOREST CT
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77061-1142
Mailing Address - Country:US
Mailing Address - Phone:713-446-2229
Mailing Address - Fax:713-649-2906
Practice Address - Street 1:8011 GLENFOREST CT
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77061-1142
Practice Address - Country:US
Practice Address - Phone:713-446-2229
Practice Address - Fax:713-649-2906
Is Sole Proprietor?:No
Enumeration Date:2007-03-06
Last Update Date:2009-10-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXM1056207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
H97238Medicare UPIN