Organization
CLIFFORD L. DEPRANG, MD, PA
Active
Organization
CLIFFORD L. DEPRANG, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLIFFORD L. DEPRANG M.D. (DIRECTOR)
(325) 698-3865
Entity
Organization
Contact information
Practice address
2074 ANTILLEY RD, ABILENE, TX 79606-5209
(325) 698-3865
(325) 793-1295
Mailing address
2074 ANTILLEY RD, ABILENE, TX 79606-5209
(325) 698-3865
(325) 793-1295
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
K5283
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0021GC
BCBS - GROUP
TX
01
—
134201
SUPERIOR HEALTH GROUP
TX
01
—
K5283
TEXAS MEDICAL LICENSE
TX
Enumeration date
06/21/2006
Last updated
04/20/2008
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