Individual
MRS. KATIE LOUISE CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
8085 ATLAS PEAR DR APT 1334, BRYAN, TX 77807-1410
(605) 519-4926
Mailing address
8085 ATLAS PEAR DR APT 1334, BRYAN, TX 77807-1410
(605) 519-4926
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
908167
TX
Other
Enumeration date
02/25/2026
Last updated
02/25/2026
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