Mayhall, Clovus Glen
Mayhall, Clovus Glen is an individual health care provider with primary practice located at 301 University Blvd , Galveston TX 77555-1022. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Mayhall, Clovus Glen can be contacted via phone (409) 772-2222.Contact Information
Primary practice address
301 University Blvd
Galveston TX 77555-1022
Phone: (409) 772-2222
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | D3330 | Texas |
Profile Details
| NPI number | 1982763330 |
|---|---|
| LBN Legal business name | Mayhall, Clovus Glen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 8th, 2006 |
| Last updated | Mar 5th, 2010 - about 15 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 | 1982763330 | NPPES |
| Texas | MEDICAID | 101503402 |
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