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Individual

ALEXANDRA G CLARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ANP

Contact information

Practice address
909 HIDDEN RDG STE 300, IRVING, TX 75038-3801
(469) 776-6222
(866) 322-2309
Mailing address
909 HIDDEN RDG STE 300, IRVING, TX 75038-3801
(469) 776-6222
(866) 322-2309

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP139055
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
AP139055
LICENSE
TX
Enumeration date
06/05/2019
Last updated
08/21/2024
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