Provider Demographics
NPI:1356726582
Name:CLAY, BYRON
Entity type:Individual
Prefix:
First Name:BYRON
Middle Name:
Last Name:CLAY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4301 VISTA RD
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:TX
Mailing Address - Zip Code:77504-2117
Mailing Address - Country:US
Mailing Address - Phone:800-505-2980
Mailing Address - Fax:
Practice Address - Street 1:6000 REIMS RD
Practice Address - Street 2:4401
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-3006
Practice Address - Country:US
Practice Address - Phone:832-788-2120
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-29
Last Update Date:2015-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist