Individual
CLARE HORADAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
524 VILLAGE RD, PORT LAVACA, TX 77979-2380
(361) 552-3741
Mailing address
524 VILLAGE RD, PORT LAVACA, TX 77979-2380
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
2089610
TX
Other
Enumeration date
08/15/2018
Last updated
08/15/2018
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