Individual
DR. CLINTON CONELL PRICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
22 BERMUDA LN, LONGVIEW, TX 75605-2902
(903) 291-3456
(903) 663-1722
Mailing address
22 BERMUDA LN, LONGVIEW, TX 75605-2902
(903) 291-3456
(903) 663-1722
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
020273
LA
2084P0804X
Child & Adolescent Psychiatry Physician
L4657
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1967092
—
LA
Enumeration date
10/18/2006
Last updated
08/28/2007
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