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Contact Information

CLAYTON H BRAKEVILLE, M.S.P.T.
107 S. DANIELS ST
CARTHAGE, TX75633
 Phone: 903-694-9371
 Fax: 903-694-2898
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for CLAYTON H BRAKEVILLE · (Male)

NPI # 1740374164
Status Active
Credentials M.S.P.T.
Entity Individual
Enumeration date 10/02/2006
Last updated 07/09/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • TX License # 1128072
  • TX Other 83356T BLUE CROSS PROVIDER #
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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