Gregg, Clint Walker

Gregg, Clint Walker is an individual health care provider with primary practice located at 4505 82Nd St Suite 5, Lubbock TX 79424-3215. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Gregg, Clint Walker can be contacted via phone (806) 798-7244.

Contact Information

Primary practice address
4505 82Nd St Suite 5 Lubbock TX 79424-3215
Phone: (806) 798-7244
Fax: (806) 798-3391
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X J4169 Texas

Profile Details

NPI number 1952392078
LBN Legal business name Gregg, Clint Walker
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2005
Last updated Dec 11th, 2007 - about 19 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952392078 NPPES
Oklahoma MEDICAID 100140800A
Oklahoma MEDICAID 114027100
Oklahoma MEDICAID 137622006
Oklahoma MEDICAID 137622007
Oklahoma MEDICAID W5079
Oklahoma Other A005
Oklahoma Other 114027101
Oklahoma Other 33853
Oklahoma MEDICAID 33853
Oklahoma Other 82W450
Oklahoma Other 80784Z

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