Individual
CLINT LARRY ALLEN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
600 ELIZABETH ST, CORPUS CHRISTI, TX 78404-2235
(361) 881-3657
Mailing address
7826 BEAUVAIS DR, CORPUS CHRISTI, TX 78414-6150
(810) 628-4223
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
713801
TX
Other
Enumeration date
11/30/2005
Last updated
07/08/2007
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