Provider Demographics
NPI:1396139200
Name:ESPINOZA, CLIFTON (MD)
Entity type:Individual
Prefix:
First Name:CLIFTON
Middle Name:
Last Name:ESPINOZA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1700 E CLIFF DR STE 200
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79902-5196
Mailing Address - Country:US
Mailing Address - Phone:915-577-9009
Mailing Address - Fax:915-577-9006
Practice Address - Street 1:1700 E CLIFF DR STE 200
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79902-5196
Practice Address - Country:US
Practice Address - Phone:915-577-9009
Practice Address - Fax:915-257-7900
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-28
Last Update Date:2024-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME134218207R00000X
390200000X
TXS1395207R00000X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program