Cockerell, Clay J

Cockerell, Clay J is an individual health care provider with primary practice located at 2110 Research Row Suite 100, Dallas TX 75235-2519. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatopathology, which is considered as his primary health care specialty. Cockerell, Clay J can be contacted via phone (214) 530-5200.

Contact Information

Primary practice address
2110 Research Row Suite 100 Dallas TX 75235-2519
Fax: (214) 530-5230
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatopathology 207ND0900X F9311 Texas

Profile Details

NPI number 1235119298
LBN Legal business name Cockerell, Clay J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2006
Last updated May 20th, 2014 - about 10 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 1235119298 NPPES
Texas MEDICAID 13737106
Texas Other 0019AY

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