Clay, Penny Prapinporn

Clay, Penny Prapinporn is an individual health care provider with primary practice located at 815 N Virginia St , Port Lavaca TX 77979-3025. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is her primary health care specialty. Clay, Penny Prapinporn can be contacted via phone (361) 552-0266.

Contact Information

Primary practice address
815 N Virginia St Port Lavaca TX 77979-3025
Phone: (361) 552-0266
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X M1378 Texas
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X M1378 Texas

Profile Details

NPI number 1598763617
LBN Legal business name Clay, Penny Prapinporn
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2005
Last updated Jul 12th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598763617 NPPES
Other 0039BV GROUP PTAN
Other 8K6571 GROUP PTAN

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