Deprang, Clifford L
Deprang, Clifford L is an sole proprietor health care provider with primary practice located at 2074 Antilley Rd , Abilene TX 79606-5209. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Deprang, Clifford L can be contacted via phone (325) 698-3865.Contact Information
Primary practice address
2074 Antilley Rd
Abilene TX 79606-5209
Phone: (325) 698-3865
Fax: (325) 793-1295
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | K5283 | Texas |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | K5283 | Texas |
Profile Details
| NPI number | 1568415206 |
|---|---|
| LBN Legal business name | Deprang, Clifford L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 17th, 2006 |
| Last updated | Aug 8th, 2023 - about 2 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 | 1568415206 | NPPES |
| Texas | MEDICAID | 029951304 | |
| Texas | Other | 0021GC | |
| Texas | Other | 146430100 | |
| Texas | Other | 146430100 |
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