Individual
BEVERLY DALE CLAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
(210) 916-1536
Mailing address
20902 CACTUS PEAK, SAN ANTONIO, TX 78258-7474
(360) 621-9766
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
31521
TX
Other
Enumeration date
11/09/2021
Last updated
11/09/2021
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