Individual
MARY CLAIRE CARBONELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
201 W 1ST ST, GRANDFIELD, OK 73546-9236
(405) 632-6688
Mailing address
2450 HOLCOMBE BLVD STE 2200, HOUSTON, TX 77021-2039
(405) 832-6688
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
1141738
TX
363LF0000X
Family Nurse Practitioner
Primary
R0100066
OK
Other
Enumeration date
12/01/2020
Last updated
01/12/2026
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