Provider Demographics
NPI:1720710510
Name:CLINOVATORS, LLC
Entity type:Organization
Organization Name:CLINOVATORS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF CLINICAL OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:ERIN
Authorized Official - Last Name:WOODARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-210-1229
Mailing Address - Street 1:9540 GARLAND RD STE 365
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75218-5004
Mailing Address - Country:US
Mailing Address - Phone:240-219-8103
Mailing Address - Fax:469-716-5080
Practice Address - Street 1:7909 FREDERICKSBURG RD STE 100
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-3403
Practice Address - Country:US
Practice Address - Phone:210-437-0884
Practice Address - Fax:469-716-5080
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CLINOVATORS, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-06-29
Last Update Date:2022-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care