Individual
DR. JEFFREY CLAYPOOL LILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4708 ALLIANCE BLVD STE 300, BAYLOR MEDICAL PLAZA 1, PLANO, TX 75093-5339
(972) 758-6000
(972) 758-6001
Mailing address
4708 ALLIANCE BLVD STE 300, BAYLOR MEDICAL PLAZA 1, PLANO, TX 75093-5339
(972) 758-6000
(972) 758-6001
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
M4291
TX
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
M4291
TX
207RP1001X
Pulmonary Disease Physician
M4291
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202792201
—
TX
01
—
8BG115
BCBSTX
TX
Enumeration date
09/02/2006
Last updated
01/24/2011
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