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
Phone: (214) 530-5200
Fax: (214) 530-5230
Website:
Health care specialties
| Specialty | Code | License # | 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 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235119298 | NPPES |
| Texas | MEDICAID | 13737106 | |
| Texas | Other | 0019AY |
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