Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. CLAUDETTE VIVIENNE CLARK, MSN,RN,CPNP,IBCLC
Active Sole ProprietorMRS. CLAUDETTE VIVIENNE CLARK, MSN,RN,CPNP,IBCLC is a Primary Care Clinic healthcare provider located in FORT SAM HOUSTON, Texas. NPI 1053457135 is currently active in the NPPES registry. Verify at CMS.
Primary Care Clinic · FORT SAM HOUSTON, TX
Registration Details
- NPI Number
- 1053457135
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 29, 2007 (19.563409705621 yrs)
- Last Updated
- Jul 8, 2007
- License
-
1-059903 (AL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3851 ROGER BROOKE DRIVEBROOKE ARMY MEDICAL CENTERFORT SAM HOUSTON, TX, 782346200Browse TX providers · Browse ZIP 78234
- Phone
- 2109169233
- Primary Specialty
-
Primary Care Clinic
261QP2300X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.