Craven, Clinton E.

Craven, Clinton E. is an individual health care provider with primary practice located at 2400 Cedar Bend Dr. , Austin TX 78758-2483. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Craven, Clinton E. can be contacted via phone (512) 901-4016.

Contact Information

Primary practice address
2400 Cedar Bend Dr. Austin TX 78758-2483
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X D0096 Texas

Profile Details

NPI number 1841265105
LBN Legal business name Craven, Clinton E.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2006
Last updated Jul 30th, 2008 - about 16 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 1841265105 NPPES
Texas MEDICAID 137121302

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