Provider Demographics
NPI:1487656062
Name:PADGINTON, CLAY HAROLD (DO)
Entity Type:Individual
Prefix:DR
First Name:CLAY
Middle Name:HAROLD
Last Name:PADGINTON
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:100B ALTON GLOOR
Mailing Address - Street 2:SUITE 250
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78526-0000
Mailing Address - Country:US
Mailing Address - Phone:956-350-9507
Mailing Address - Fax:956-350-0513
Practice Address - Street 1:100B ALTON GLOOR
Practice Address - Street 2:SUITE 250
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78526-0000
Practice Address - Country:US
Practice Address - Phone:956-350-9507
Practice Address - Fax:956-350-0513
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-12
Last Update Date:2008-02-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAOS0128522085R0202X
TXM24362085R0202X, 2085R0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology