SearchTexas101YA0400X

Jason Clevenger

NPI 1902722689 · on the registry since 2026 · sole proprietor

Practice

Address
1555 County Road 2006
Glen Rose, TX 76043
Phone
(214) 500-2027

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Also registered as
171W00000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-06-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas