Individual
CLAYTON E WHITNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G0285
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123448604
—
TX
05
—
123448605
—
TX
01
—
8BC079
BCBS OF TEXAS
TX
01
—
TIN PLUS 021
TRICARE
TX
Enumeration date
01/31/2006
Last updated
10/14/2014
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