Provider Demographics
NPI:1851390819
Name:HYMEL, ERNEST CLAYTON (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:ERNEST
Middle Name:CLAYTON
Last Name:HYMEL
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8333 9TH AVE STE G
Mailing Address - Street 2:
Mailing Address - City:PORT ARTHUR
Mailing Address - State:TX
Mailing Address - Zip Code:77642-8151
Mailing Address - Country:US
Mailing Address - Phone:409-729-8088
Mailing Address - Fax:409-729-8089
Practice Address - Street 1:8333 9TH AVE STE G
Practice Address - Street 2:
Practice Address - City:PORT ARTHUR
Practice Address - State:TX
Practice Address - Zip Code:77642-8151
Practice Address - Country:US
Practice Address - Phone:409-729-8088
Practice Address - Fax:409-729-8089
Is Sole Proprietor?:No
Enumeration Date:2005-07-20
Last Update Date:2012-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM04372085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8F3547OtherMEDICAID CYFA
TX180545902Medicaid
TX180545902Medicaid
TXI41111Medicare UPIN