Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Cleveland Clinic Corp

Organization Family Medicine Physician · NPI 1790055754

Cleveland Clinic Corp is a Family Medicine Physician in Cleveland, Texas. Registered with an NPI since 2012.

In the registry since
2012
Specialties on file
4
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

300 E Crockett St
Cleveland, TX 77327-4029
Phone: (281) 592-3344
Fax: (281) 593-0952
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Obstetrics & Gynecology Physician Taxonomy 207V00000X
Surgery Physician Taxonomy 208600000X
Urology Physician Taxonomy 208800000X

Record details

NPI number1790055754
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Charles Fulner — Officer/Director · (502) 777-8128
NPI enumeratedJanuary 9, 2012
Last updated in NPPESJanuary 9, 2012
Mailing address300 E Crockett St, Cleveland, TX 77327-4029

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