Individual
CLIFTON HANCOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6025 METROPOLITAN DR STE 205, BEAUMONT, TX 77706-2409
(409) 234-7088
(409) 898-0177
Mailing address
6025 METROPOLITAN DR STE 205, BEAUMONT, TX 77706-2409
(409) 234-7088
(409) 898-0177
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
MT200505
PA
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
Q7383
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Q7383
TX STATE MEDICAL LICENCE
TX
Enumeration date
06/22/2011
Last updated
12/06/2021
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