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Organization
GARY R. CLAYTON, MD, PA
Active
Organization
GARY R. CLAYTON, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY R CLAYTON M.D. (PRESIDENT)
(409) 839-4757
Entity
Organization
Contact information
Practice address
740 HOSPITAL DR, SUITE 210, BEAUMONT, TX 77701-4664
(409) 839-4757
(409) 839-4294
Mailing address
PO BOX 8235, LUMBERTON, TX 77657-0235
(409) 839-4757
(409) 839-4294
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
H5430
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
128406906
—
TX
05
—
173193701
—
TX
Enumeration date
11/28/2006
Last updated
11/05/2010
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