Individual
DR. COUNCIL CLAYTON MILLS III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2670 E 29TH ST STE A, COGENT HEALTHCARE OF TEXAS, PA, BRYAN, TX 77802-2501
(979) 776-5967
(979) 774-4849
Mailing address
5410 MARYLAND WAY SUITE 300, COGENT HEALTHCARE, BRENTWOOD, TN 37027
(615) 377-5658
(615) 373-5280
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
E6523
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114274704
—
TX
01
—
8CB434
BCBS
TX
01
—
E6523
STATE
TX
Enumeration date
07/17/2006
Last updated
02/23/2010
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