Individual
AMBER CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2019 PINE KNOT DR, HEARTLAND, TX 75126-8284
(214) 901-2251
Mailing address
2019 PINE KNOT DR, HEARTLAND, TX 75126-8284
(214) 901-2251
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
758514
TX
Other
Enumeration date
05/17/2018
Last updated
05/17/2018
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