# CLINT M CORMIER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1861496770
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 024745 | LA | — |
| 207V00000X | Obstetrics & Gynecology Physician | M6087 | TX | Yes |

## Other

- **Enumeration date:** 06/08/2005
- **Last updated:** 06/23/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1553760 | — | LA |
| 05 | — | 159052305 | — | TX |
| 01 | — | 8F9683 | BCBSTX | TX |