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NPI Code Detail

MEDICARE: DR. CLAYTON PICKERING DO

MEDICARE: DR. CLAYTON PICKERING DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianK7866TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1689667826
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CLAYTON PICKERING DO
Provider Business Mailing Address
First Line : 202 E JEFFERSON AVE
Second Line :
City : WHITNEY
State : TX
Zip : 76692-2398
Country : US
Telephone Number : 254-694-2221
Fax Number : 254-694-9978
Provider Business Practice Location Address
First Line : 202 E JEFFERSON AVE
Second Line :
City : WHITNEY
State : TX
Zip : 76692-2398
Country : US
Telephone Number : 254-694-2221
Fax Number : 254-694-9978
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/23/2005
Last Update Date : 07/28/2022

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Directions to “ DR. CLAYTON PICKERING DO” Practice Location

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