Mills, Council Clayton

Mills, Council Clayton is an sole proprietor health care provider with primary practice located at 2670 E 29Th St Ste A Cogent Healthcare Of Texas, Pa, Bryan TX 77802-2501. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Mills, Council Clayton can be contacted via phone (979) 776-5967.

Contact Information

Primary practice address
2670 E 29Th St Ste A Cogent Healthcare Of Texas, Pa Bryan TX 77802-2501
Phone: (979) 776-5967
Fax: (979) 774-4849
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X E6523 Texas

Profile Details

NPI number 1235157744
LBN Legal business name Mills, Council Clayton
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 17th, 2006
Last updated Feb 23rd, 2010 - about 16 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 1235157744 NPPES
Texas Other E6523 STATE
Texas Other 8CB434 STATE
Texas MEDICAID 114274704 STATE

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