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Individual

DR. CLAYTON K CKODRE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
20630 STATE HIGHWAY 46 W STE 120, SPRING BRANCH, TX 78070-6855
(830) 980-3306
Mailing address
20630 STATE HIGHWAY 46 W STE 120, SPRING BRANCH, TX 78070-6855
(830) 980-3306

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
4442TG
TX
152WC0802X
Corneal and Contact Management Optometrist
Primary
4442TG
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
019316101
TX
Enumeration date
08/11/2006
Last updated
02/13/2013
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