Individual
CHELSEA CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3902 CIMARRON BLVD APT 10204, CORPUS CHRISTI, TX 78414-4291
(512) 293-3641
Mailing address
3902 CIMARRON BLVD APT 10204, CORPUS CHRISTI, TX 78414-4291
(512) 293-3641
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
V3265
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/11/2021
Last updated
10/16/2024
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