Individual provider · NPI-1

Dr. Gary R Clayton, M.D.

Family Medicine · Beaumont, TX

NPI number1154438620
StatusActive
Last updated in NPPESMar 31, 2014

Details

NPI
1154438620
Entity type
Individual (NPI-1)
Name
Dr. Gary R Clayton
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Aug 23, 2006
Last updated
Mar 31, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineH5430TXYes

Practice location

740 Hospital Dr
Suite 210
Beaumont, TX 77701-4664

Phone 409-839-4757 · Fax 409-839-4294

Mailing address

Po Box 8235
Lumberton, TX 77657-0235

Phone 409-839-4757 · Fax 409-839-4294

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Family Medicine providers in Beaumont, TX