Individual
DR. JEFFREY CLAY FLETCHER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
P6816
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
558260YR99
MEDICARE
—
Enumeration date
04/15/2010
Last updated
01/04/2022
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