Individual
CLOYCE LEROY STETSON
Active
Individual
CLOYCE LEROY STETSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
J9557
TX
207ND0900X
Dermatopathology Physician
Primary
J9557
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100163190A
—
OK
05
—
119034001
—
TX
05
—
119034002
—
TX
01
—
124783100
FIRSTCARE COMMERCIAL
TX
05
—
124783101
—
TX
01
—
201021543
PRESBYTERIAN COMMERCIAL
NM
05
—
201021543
—
NM
01
—
80580S
BC/BS
TX
01
—
80948Z
HMO BLUE
TX
01
—
A363
TRIWEST
—
05
—
S4956
—
NM
Enumeration date
06/01/2005
Last updated
08/21/2026
Update your record
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