Gregg, Clint Walker
Gregg, Clint Walker is an individual health care provider with primary practice located at 4505 82Nd St Suite 5, Lubbock TX 79424-3215. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Gregg, Clint Walker can be contacted via phone (806) 798-7244.Contact Information
Primary practice address
4505 82Nd St Suite 5
Lubbock TX 79424-3215
Phone: (806) 798-7244
Fax: (806) 798-3391
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | J4169 | Texas |
Profile Details
NPI number | 1952392078 |
---|---|
LBN Legal business name | Gregg, Clint Walker |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 31st, 2005 |
Last updated | Dec 11th, 2007 - about 17 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 | 1952392078 | NPPES |
Oklahoma | MEDICAID | 100140800A | |
Oklahoma | MEDICAID | 114027100 | |
Oklahoma | MEDICAID | 137622006 | |
Oklahoma | MEDICAID | 137622007 | |
Oklahoma | MEDICAID | W5079 | |
Oklahoma | Other | A005 | |
Oklahoma | Other | 114027101 | |
Oklahoma | Other | 33853 | |
Oklahoma | MEDICAID | 33853 | |
Oklahoma | Other | 82W450 | |
Oklahoma | Other | 80784Z |
Popular Providers
-
Anderson, Justin Eric
4315 28Th St , Lubbock TX 79410-2507 -
Fuller, Christopher G.
4517 98Th St , Lubbock TX 79424-5013 -
Khater, Timothy Tamim
5109 80Th St , Lubbock TX 79424 -
Bradley, Jay Cameron
5109 80Th St , Lubbock TX 79424-3017 -
Ho, Ming Tao Peter
3702 34Th St , Lubbock TX 79410 -
Freedman, Kenn Alan
3601 4Th St 2A100, Lubbock TX 79430-0002 -
Mitchell, Kelly T.
3601 4Th St 2A100, Lubbock TX 79430-0002 -
Mccartney, David Lloyd
3601 4Th St 2A100, Lubbock TX 79430-0002