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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JON-MICHAEL GLEN CLINE, DO

Active

JON-MICHAEL GLEN CLINE, DO is a Sports Medicine healthcare provider located in TYLER, Texas. NPI 1972866283 is currently active in the NPPES registry. Verify at CMS.

Sports Medicine · TYLER, TX

Registration Details

NPI Number
1972866283
Provider Type
Individual
Gender
Male
NPI Issued
Jun 21, 2012 (14.103828575636 yrs)
Last Updated
Oct 22, 2022
Licenses
BP10044610 (TX)
P8872 (TX)
P8872 (TX)

Practice Information

Address
3414 GOLDEN RD
TYLER, TX, 757018336
Browse TX providers · Browse ZIP 75701
Phone
9039397500
Primary Specialty
Sports Medicine
207QS0010X
Additional Specialty
Sports Medicine (PM&R)
Additional Specialty
Sports Medicine

Other Sports Medicine Providers in TYLER, TX

Name Credential NPI
JAMES WAYNE MCKINLEY M.D. 1902896863
ROBERT MICHAEL GALBRAITH D.O. 1609802859
DR. PETER MICHAEL KARAGOZIAN III MD 1578060182
DAVID CAVANESS DO 1487218798
ROBERT XAVIER FRENCH DO 1649853763
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.