Individual
CARTER SHAMAR CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7608 NARROW PASS ST, LIVE OAK, TX 78233-3019
(210) 714-3545
Mailing address
7500 SAN FELIPE ST STE 990, HOUSTON, TX 77063-1708
(866) 610-0580
(866) 611-1558
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
TX
Other
Enumeration date
06/21/2024
Last updated
06/21/2024
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