Individual
CLINTON C BATTLE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
817 BAKER ST, FORT WORTH, TX 76104
(817) 921-6541
(888) 456-4198
Mailing address
PO BOX 171618, ARLINGTON, TX 76003-1618
(817) 921-6541
(888) 456-4198
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
F1368
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
033011001
—
TX
01
—
7168854
CIGNA
TX
01
—
751857683
TRICARE
TX
Enumeration date
08/29/2006
Last updated
08/26/2010
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