Penny Prapinporn Clay in Port Lavaca - Family Medicine
Penny Prapinporn Clay - NPI 1598763617
Penny Prapinporn Clay is a Family Medicine in Port Lavaca, Texas. Penny Prapinporn Clay practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Penny Prapinporn Clay is 1598763617. The last update date is 2016-07-12.
Penny Prapinporn Clay's current location address is 815 N Virginia St, Port Lavaca, Texas. You can contact this provider via phone number 3615520266. The mailing address for Penny Prapinporn Clay is 815 N Virginia St, Port Lavaca, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Penny Prapinporn Clay |
|---|---|
| Address | 815 N Virginia St, Port Lavaca, Texas |
| Phone Number | 3615520266 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1598763617 |
|---|---|
| Provider Enumeration Date | 2005-07-12 |
| Last Updated Date | 2016-07-12 |
Provider Mailing Address Detail
| Address | 815 N Virginia St |
|---|---|
| City | Port Lavaca |
| State | Texas (TX) |
| Post Code | 7797930250 |
| Phone Number | 3615520266 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | M1378 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0039BV | GROUP PTAN | ||
| 8K6571 | TX | INDIVIDUAL PTAN |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Penny Prapinporn Clay by the Centers for Medicare & Medicaid Services?
The Penny Prapinporn Clay has been issued the NPI (National Provider Identifier) 1598763617 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Penny Prapinporn Clay?
The Penny Prapinporn Clay is situated at 815 N Virginia St, in the city of Port Lavaca, state of TX, with the zip code 7797930250.
What is the Penny Prapinporn Clay's specialty and taxonomy code?
The Penny Prapinporn Clay's specialty is Family Medicine, and the corresponding taxonomy code is 207Q00000X.
On what date did the Penny Prapinporn Clay receive the assignment of its 1598763617 from the Centers for Medicare & Medicaid Services?
The Penny Prapinporn Clay was issued its 1598763617 by the Centers for Medicare & Medicaid Services on 2005-07-12.
As of what date were the details pertaining to Penny Prapinporn Clay last refreshed?
The information related to the Penny Prapinporn Clay, including its address, specialty, and other relevant details, was last updated on 2016-07-12.