Individual
CLARA SOUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BDS, MSD
Contact information
Practice address
10123 LAKE CREEK PKWY BLDG 1, AUSTIN, TX 78729-1755
(512) 335-3600
Mailing address
10123 LAKE CREEK PKWY BLDG 1, AUSTIN, TX 78729-1755
(512) 335-3600
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
004533
OH
1223P0300X
Periodontics
Primary
42087
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004533
—
OH
Enumeration date
07/19/2022
Last updated
01/13/2026
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