Clay, Penny Prapinporn
Clay, Penny Prapinporn is an individual health care provider with primary practice located at 815 N Virginia St , Port Lavaca TX 77979-3025. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is her primary health care specialty. Clay, Penny Prapinporn can be contacted via phone (361) 552-0266.Contact Information
Primary practice address
815 N Virginia St
Port Lavaca TX 77979-3025
Phone: (361) 552-0266
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | M1378 | Texas |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | M1378 | Texas |
Profile Details
| NPI number | 1598763617 |
|---|---|
| LBN Legal business name | Clay, Penny Prapinporn |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 12th, 2005 |
| Last updated | Jul 12th, 2016 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598763617 | NPPES |
| Other | 0039BV | GROUP PTAN | |
| Other | 8K6571 | GROUP PTAN |
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