Individual
DIANA CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3518 GOLDEN TERRACE CT, KATY, TX 77494-4921
(713) 367-2935
Mailing address
3518 GOLDEN TERRACE CT, KATY, TX 77494-4921
(713) 367-2935
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
93821434810
UT
Other
Enumeration date
07/17/2015
Last updated
07/17/2015
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