Mills, Council Clayton
Mills, Council Clayton is an sole proprietor health care provider with primary practice located at 2670 E 29Th St Ste A Cogent Healthcare Of Texas, Pa, Bryan TX 77802-2501. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Mills, Council Clayton can be contacted via phone (979) 776-5967.Contact Information
Primary practice address
2670 E 29Th St Ste A Cogent Healthcare Of Texas, Pa
Bryan TX 77802-2501
Phone: (979) 776-5967
Fax: (979) 774-4849
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | E6523 | Texas |
Profile Details
NPI number | 1235157744 |
---|---|
LBN Legal business name | Mills, Council Clayton |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 17th, 2006 |
Last updated | Feb 23rd, 2010 - about 14 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 | 1235157744 | NPPES |
Texas | Other | E6523 | STATE |
Texas | Other | 8CB434 | STATE |
Texas | MEDICAID | 114274704 | STATE |
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