Provider Demographics
NPI:1649659178
Name:CLEMENTS, CHARLES WES III (MD)
Entity type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:WES
Last Name:CLEMENTS
Suffix:III
Gender:M
Credentials:MD
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Mailing Address - Street 1:8203 FREDERICKSBURG RD
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-3313
Mailing Address - Country:US
Mailing Address - Phone:210-592-4144
Mailing Address - Fax:210-592-1119
Practice Address - Street 1:8203 FREDERICKSBURG RD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-3313
Practice Address - Country:US
Practice Address - Phone:210-592-4144
Practice Address - Fax:210-529-1119
Is Sole Proprietor?:No
Enumeration Date:2015-05-29
Last Update Date:2020-01-30
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Provider Licenses
StateLicense IDTaxonomies
TXR6370207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine