Individual
KRISTEN MARIE CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7600 FANNIN ST, HOUSTON, TX 77054-1906
(713) 790-1234
Mailing address
2811 DECROS PT, RICHMOND, TX 77406-1949
(281) 224-1500
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1-188505
AL
163WN0002X
Neonatal Intensive Care Registered Nurse
1-188505
AL
363LN0000X
Neonatal Nurse Practitioner
Primary
1181713
TX
Other
Enumeration date
04/17/2023
Last updated
02/12/2025
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