Provider Demographics
NPI:1154627941
Name:FOX, CLEMENT WADE (MD)
Entity Type:Individual
Prefix:DR
First Name:CLEMENT
Middle Name:WADE
Last Name:FOX
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:5959 S SHERWOOD FOREST BLVD
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70816-6038
Mailing Address - Country:US
Mailing Address - Phone:318-966-6500
Mailing Address - Fax:225-765-9196
Practice Address - Street 1:320 W. CAPITOL
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72201
Practice Address - Country:US
Practice Address - Phone:501-379-4664
Practice Address - Fax:501-379-4663
Is Sole Proprietor?:No
Enumeration Date:2011-01-27
Last Update Date:2023-03-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
ARE-2558207RC0200X, 207RP1001X
LA019424207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine