Moss, Clint Cameron

Moss, Clint Cameron is an sole proprietor health care provider with primary practice located at 815 Pecan Grove Rd E , Sherman TX 75090-1768. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Moss, Clint Cameron can be contacted via phone (903) 892-2126.

Contact Information

Primary practice address
815 Pecan Grove Rd E Sherman TX 75090-1768
Fax: (903) 992-2129
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X P0769 Texas

Profile Details

NPI number 1578726352
LBN Legal business name Moss, Clint Cameron
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 2nd, 2008
Last updated Jul 26th, 2017 - about 7 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 1578726352 NPPES
Texas MEDICAID 316328901

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