Individual
DR. CLIFFORD L DEPRANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2074 ANTILLEY RD, ABILENE, TX 79606-5209
(325) 698-3865
(325) 793-1295
Mailing address
2074 ANTILLEY RD, ABILENE, TX 79606-5209
(325) 698-3865
(325) 793-1295
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
K5283
TX
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
K5283
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0021GC
BCBS
TX
05
—
029951304
—
TX
01
—
146430100
FIRSTCARE HMO
TX
Enumeration date
05/17/2006
Last updated
08/08/2023
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