Whitney, Clayton E

Whitney, Clayton E is an individual health care provider with primary practice located at 1327 Troup Hwy , Tyler TX 75701-4443. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Whitney, Clayton E can be contacted via phone (903) 531-4733.

Contact Information

Primary practice address
1327 Troup Hwy Tyler TX 75701-4443
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X G0285 Texas

Profile Details

NPI number 1780655340
LBN Legal business name Whitney, Clayton E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2006
Last updated Oct 14th, 2014 - about 10 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 1780655340 NPPES
Texas MEDICAID 123448604
Texas Other 8BC079
Texas MEDICAID 123448605
Texas Other TIN PLUS 021

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