Individual
CHARLOTTE NANETTE CLARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(210) 257-1400
Mailing address
UTHSCSA, UTHSCSA, DEPT. OF PATHOLOGY, 7703 FLOYD CURL DRIVE, RM 328B, SAN ANTONIO, TX 78229
(210) 592-0400
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
E5321
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102348301
—
TX
01
—
102348302
CIDC
TX
Enumeration date
08/24/2006
Last updated
01/19/2011
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