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Individual

CLARK HAYDEN STEARNS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
6031 LOST CREEK DRIVE, CORPUS CHRISTI, TX 78413-3808
(361) 288-3528
Mailing address
6031 LOST CREEK DRIVE, CORPUS CHRISTI, TX 78413-3808
(361) 288-3528
(361) 288-3528

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
E-6633
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00TX44
BLUE SHIELD
05
1312449
TX
Enumeration date
10/21/2010
Last updated
10/21/2010
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