Provider Demographics
NPI:1215964390
Name:ROSS, CLAY WHITTEN (MD)
Entity type:Individual
Prefix:DR
First Name:CLAY
Middle Name:WHITTEN
Last Name:ROSS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:819 WATER ST
Mailing Address - Street 2:SUITE 300
Mailing Address - City:KERRVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78028-5333
Mailing Address - Country:US
Mailing Address - Phone:830-258-5430
Mailing Address - Fax:830-792-5771
Practice Address - Street 1:1200 N BISHOP ST
Practice Address - Street 2:
Practice Address - City:SAN MARCOS
Practice Address - State:TX
Practice Address - Zip Code:78666-2706
Practice Address - Country:US
Practice Address - Phone:512-392-7151
Practice Address - Fax:512-392-5444
Is Sole Proprietor?:No
Enumeration Date:2006-06-26
Last Update Date:2007-12-10
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Provider Licenses
StateLicense IDTaxonomies
TXE11032084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8J2988Medicare PIN