Organization
CLAYTON PICKERING DO, PA.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LINDA HALL (OFFICE MANAGER)
(254) 694-2221
Entity
Organization
Contact information
Practice address
202 E JEFFERSON AVE, WHITNEY, TX 76692-2398
(254) 694-2221
(254) 694-9978
Mailing address
PO BOX 2171, WHITNEY, TX 76692-5171
(254) 694-2221
(254) 694-9978
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
K7866
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0084JF
BCBS GROUP
TX
05
—
158631501
—
TX
01
—
P00012973
MEDICARE RAILROAD
TX
Enumeration date
01/17/2008
Last updated
03/04/2010
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