Clover Oxygen PLLC

Primary specialty

Undersea and Hyperbaric Medicine (Emergency Medicine) PhysicianTaxonomy code 207PE0005X

Legal business name

CLOVER OXYGEN PLLC

Practice address

252 Bailey Ranch Road
Ste 100
Aledo, TX 76008

Phone

(817) 386-3632

NPI assigned

Feb 10, 2023

Organization subpart

No

Name

Dr. Elaine Phuah, DONPI 1366719767

Title

Physician/Ceo

Phone

(817) 386-3632

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elaine Phuah, D.O.

  • Internal Medicine Physician
  • Fort Worth, TX
  • NPI 1366719767

  TX

  Medicare reassignment NPD Authorized official
• Leon Tio, D.O.

  • Internal Medicine Physician
  • Fort Worth, TX
  • NPI 1952741795

  TX

  Medicare reassignment NPD

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 29, 2024.

{
    "created_epoch": "1675987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714348800000",
    "number": "1073210993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 8TH AVE STE 506",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042604",
            "telephone_number": "214-336-7643",
            "fax_number": "866-245-0073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "252 BAILEY RANCH ROAD",
            "address_2": "STE 100",
            "city": "ALEDO",
            "state": "TX",
            "postal_code": "76008",
            "telephone_number": "817-386-3632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLOVER OXYGEN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-10",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A",
        "authorized_official_last_name": "PHUAH",
        "authorized_official_first_name": "ELAINE",
        "authorized_official_title_or_position": "PHYSICIAN/CEO",
        "authorized_official_telephone_number": "817-386-3632",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207PE0005X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Emergency Medicine, Undersea and Hyperbaric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tanner Ray Campbell, MD
• Cynthia Carroll, MA, LPC, CPPS
• Brooke Carter
• Child Psychological Services
• Stacy R Cliver, M.S., CCC-SLP
• Francis Brian Clute, DDS
• Concare, LLC
• Concentra
• Cook Children'S Medical Center
• Cook Children'S Medical Center

• All providers in Aledo, TX
• Undersea and Hyperbaric Medicine (Emergency Medicine) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.