DR. CLYDE CORWIN CLYBOURN (NPI# 1043391758) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043391758 |
| Entity Type | Individual |
| Full Name | DR. CLYDE CORWIN CLYBOURN |
| Credential | MD |
| Practice Address |
1211b E Cliff Dr El Paso TX 79902-4734 |
| Mailing Address |
6101 Blue Lagoon Dr Ste 400 Miami FL 33126-2051 |
| Practice Telephone | 9155916226 |
| Practice Fax Number | 9153089433 |
| Mailing Telephone | 3055002027 |
| Mailing Fax Number | 3055002155 |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2020-09-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | M7914 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | RAILROAD RETIREMENT MEDICARE | P01249697 | 01 |
| TX | BC/BS OF TEXAS | 8DZ241 | 01 |
| TX | 1939324-03 | 05 | |
| NM | 36277029 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 221 N Kansas St, Ste. 1501, El Paso, TX 799011443 | 9155469200 | 9155469800 |
| Street Address |
1211B E CLIFF DR |
| City | EL PASO |
| State | TX |
| Zip Code | 79902-4734 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881168086 | Mcci of Texas Primary Care Group Pllc | Internal Medicine | 1211b E Cliff Dr, El Paso, TX 79902-4734 | 2019-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457827222 | Planned Parenthood of Greater Texas - El Paso Family Planning | Clinic/Center | 1511 E. Missouri Ave, Ste B, El Paso, TX 79902 | 2018-10-19 |
| 1700364072 | Patricia Rosales | Counselor | 611 Newman Street, El Paso, TX 79902 | 2018-07-30 |
| 1275020117 | Maximo Arroyo | Acupuncturist | 1627 Montana Ave, El Paso, TX 79902 | 2018-04-17 |
| 1699288464 | Eva Gonzalez-lewis | Social Worker | 1225 E. Cliff Dr Bldg 3 Ste#100, El Paso, TX 79902 | 2017-11-14 |
| 1710496625 | Ivan Ramon Manuel Chavez | Spec/Tech, Health Info | 2924 Piedmont Dr, El Paso, TX 79902 | 2017-09-22 |
| 1609306992 | Vidanta Personal Assistance Services Inc | Nursing Care | 1801 E Yandell Dr, El Paso, TX 79902 | 2017-06-19 |
| 1083154967 | Lamp Anesthesia, Pllc | Nurse Anesthetist, Certified Registered | 1300 Murchison Dr. #200, El Paso, TX 79902 | 2017-02-27 |
| 1053769422 | Winston Lu | Pharmacist | 3001 N Mesa St, El Paso, TX 79902 | 2016-05-26 |
| 1841672904 | Norma Avitia | Counselor | 1225 E Cliff Dr Bldg 3, El Paso, TX 79902 | 2015-06-25 |
| 1962826370 | Josefina Avalos | Social Worker | 1101 E. Schuster, El Paso, TX 79902 | 2014-02-06 |
| Find all providers in zip 79902 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851852297 | Trinity Heritage Pllc | Internal Medicine | 2204 Joe Battle Blvd # D203, El Paso, TX 79938-4660 | 2019-03-28 |
| 1770048175 | Pablo Casares Md Pa | Internal Medicine | 1516 Lomaland Dr, El Paso, TX 79935-4202 | 2019-02-10 |
| 1922504588 | Spectrum Radiologists Services Inc | Internal Medicine | 4855 N Mesa St Ste 130, El Paso, TX 79912-5939 | 2018-04-03 |
| 1831612738 | Cinu Integrated Medical Pa, Pllc | Internal Medicine | 1556 Lomaland Dr Ste 101b, El Paso, TX 79935-4202 | 2017-07-23 |
| 1619490133 | Dwayne Friday, M.d., Pllc | Internal Medicine | 811 Chelsea St Ste B, El Paso, TX 79903-4925 | 2017-07-18 |
| 1376907576 | Rene Roberts Jr. | Internal Medicine | 400 Stewart Dr, El Paso, TX 79915-2530 | 2016-04-13 |
| 1891159349 | Roberto Gonzalez | Internal Medicine | 2311 N Mesa St Ste J, El Paso, TX 79902-3575 | 2016-04-11 |
| 1548643216 | Internal Medicine Providers of El Paso Pllc | Internal Medicine | 717 Lakeway Dr, El Paso, TX 79932-3120 | 2015-06-30 |
| 1326445347 | Mojgan Kaveh-talley | Internal Medicine | 5100 North Piedras Street, El Paso, TX 79930 | 2014-11-20 |
| 1699183848 | Nathaniel Griffith, Do Pa | Internal Medicine | 10701 Sam Snead Dr, El Paso, TX 79935-2413 | 2014-07-31 |
| Find all providers in EL PASO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.