Individual provider · Type 1 NPI

Clemmie Jo Deyoung, PA-C

Surgical Physician Assistant · Temple, TX

NPI number 1609596758 Active

Practice location

2401 S 31st St
Temple, TX 76508-1959

Mailing address

PO Box 844658
Dallas, TX 75284-4658

Other practice locations

  • 204 Dale Earnhardt Dr Unit B, Harker Heights, TX 76548-1959 · (217) 329-2316

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XNone listed

Surgical Physician Assistant: Definition to come...

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About NPI 1609596758

Clemmie Jo Deyoung, PA-C's National Provider Identifier is 1609596758, issued on Aug 30, 2022. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Temple, TX. The record was last updated on Nov 22, 2024.