Corey, Clyde Leland

Corey, Clyde Leland is an individual health care provider with primary practice located at 919 Graham Dr , Tomball TX 77375-6408. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Corey, Clyde Leland can be contacted via phone (281) 516-6530.

Contact Information

Primary practice address
919 Graham Dr Tomball TX 77375-6408
Phone: (281) 516-6530
Fax: (281) 290-9824
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 208800000-UROLOGY Texas
Allopathic & Osteopathic Physicians / Urology 208800000X H4250 Texas

Profile Details

NPI number 1942288394
LBN Legal business name Corey, Clyde Leland
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2006
Last updated Feb 13th, 2012 - about 12 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 1942288394 NPPES
Texas MEDICAID 096750701

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