Basic Information
| Provider Information | |||||||||
| NPI: | 1881969129 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SCHOOLFIELD | ||||||||
| FirstName: | CLINT | ||||||||
| MiddleName: | SUMBERA | ||||||||
| NamePrefix: | |||||||||
| NameSuffix: | JR. | ||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 604 FERRIDAY CT | ||||||||
| Address2: | |||||||||
| City: | HARAHAN | ||||||||
| State: | LA | ||||||||
| PostalCode: | 701237803 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3184263925 | ||||||||
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| Practice Location | |||||||||
| Address1: | 200 W ESPLANADE AVE STE 401 | ||||||||
| Address2: | |||||||||
| City: | KENNER | ||||||||
| State: | LA | ||||||||
| PostalCode: | 70065 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5044648588 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/20/2012 | ||||||||
| LastUpdateDate: | 09/14/2018 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208600000X | MD045086 | DC | N | Allopathic & Osteopathic Physicians | Surgery | 390200000X | N | Student, Health Care | Student in an Organized Health Care Education/Training Program | 208600000X | 308554 | LA | Y | Allopathic & Osteopathic Physicians | Surgery |
No ID Information.