Individual
MS. CATHY CLINARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
6606 LBJ FWY, SUITE 200, DALLAS, TX 75240-6533
(972) 715-5000
(972) 715-9976
Mailing address
PO BOX 650866, DALLAS, TX 75265-0866
(972) 715-1999
(972) 233-3666
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
631006
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
155484203
—
TX
05
—
155484204
—
TX
05
—
155484205
—
TX
01
—
89N041
BCBS
TX
01
—
P00101189
RAILROAD
TX
Enumeration date
12/28/2005
Last updated
10/10/2015
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