Provider Demographics
NPI:1386136174
Name:BISHOP, CLAYTON MATTHEW (MD, MPH)
Entity type:Individual
Prefix:
First Name:CLAYTON
Middle Name:MATTHEW
Last Name:BISHOP
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5959 S STAPLES ST
Mailing Address - Street 2:STE 102
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78413-3844
Mailing Address - Country:US
Mailing Address - Phone:361-854-7000
Mailing Address - Fax:361-814-2685
Practice Address - Street 1:5959 S STAPLES ST
Practice Address - Street 2:STE 102
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78413-3844
Practice Address - Country:US
Practice Address - Phone:361-854-7000
Practice Address - Fax:361-814-2685
Is Sole Proprietor?:No
Enumeration Date:2018-06-06
Last Update Date:2023-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXU3479174400000X, 207Y00000X
TXBP10063418207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
No174400000XOther Service ProvidersSpecialist