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Individual

DR. CLINTON H DOERR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
6560 FANNIN ST STE 1632, HOUSTON, TX 77030-2734
(713) 255-4000
(713) 255-4050
Mailing address
PO BOX 4346, DEPT 794, HOUSTON, TX 77210-4346
(713) 255-4000
(713) 255-4050

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
K2006
TX
207RP1001X
Pulmonary Disease Physician
Primary
K2006
TX
207RS0012X
Sleep Medicine (Internal Medicine) Physician
K2006
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
045657604
TX
01
7785430
AETNA PROV #
TX
01
8R1144
BLUE CROSS PROV #
TX
01
P00190026
RAILROAD MEDICARE #
TX
Enumeration date
05/16/2006
Last updated
10/26/2023
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