Stetson, Cloyce L.

Stetson, Cloyce L. is an individual health care provider with primary practice located at 3601 4Th St Suite 4A100, Lubbock TX 79430-9400. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Dermatopathology. Allopathic & Osteopathic Physicians / Dermatopathology is his primary health care specialty. Stetson, Cloyce L. can be contacted via phone (806) 743-1842.

Contact Information

Primary practice address
3601 4Th St Suite 4A100 Lubbock TX 79430-9400
Phone: (806) 743-1842
Fax: (806) 743-1105
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X J9557 Texas
Allopathic & Osteopathic Physicians / Dermatopathology 207ND0900X J9557 Texas

Profile Details

NPI number 1730181017
LBN Legal business name Stetson, Cloyce L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2005
Last updated Dec 2nd, 2021 - about 4 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 1730181017 NPPES
Texas MEDICAID 119034002
Texas MEDICAID 119034001
Texas Other 80580S
Texas Other 80948Z
Texas MEDICAID 100163190A
Texas MEDICAID S4956
Texas MEDICAID 124783101
Texas Other 124783100
Texas Other 201021543
Texas MEDICAID 201021543
Texas Other A363

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