Organization Active NPI

Patrick Clemons, D.O., P.a.

  • Allergy & Immunology Physician
  • West Lake Hills, TX
National Provider Identifier
1356656086
Registry record updated Aug 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
J1933 Issued in TX
Legal business name
PATRICK CLEMONS, D.O., P.A.
Practice address
4407 Bee Caves Rd
Suite 113
West Lake Hills, TX 78746-6405
Phone
(512) 732-7347
NPI assigned
Aug 18, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Patrick Edwin Clemons, D.O.
Title
Owner/President
Phone
(512) 732-7347

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207K00000X J1933 TX Primary

Addresses

Primary practice location

4407 Bee Caves Rd
Suite 113
West Lake Hills, TX 78746-6405

Mailing address

4407 Bee Caves Rd
Suite 113
West Lake Hills, TX 78746-6405

National Provider Directory

National Provider Directory

Locations

4407 Bee Caves Rd
Ste 113
West Lake Hills, TX 78746
Phone (512) 732-7347

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1282089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282089600000",
    "number": "1356656086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4407 BEE CAVES RD",
            "address_2": "SUITE 113",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787466405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4407 BEE CAVES RD",
            "address_2": "SUITE 113",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787466405",
            "telephone_number": "512-732-7347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICK CLEMONS, D.O., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-18",
        "last_updated": "2010-08-18",
        "status": "A",
        "authorized_official_last_name": "CLEMONS",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "EDWIN",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "512-732-7347",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": "TX",
            "license": "J1933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Lake Hills, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.