Individual
CLINT STEWART SHERROUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
1105 UNIVERSITY DR E STE 100, COLLEGE STATION, TX 77840-2183
(281) 415-9266
Mailing address
4116 WALLACESHIRE AVE, COLLEGE STATION, TX 77845-7498
(281) 415-9926
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1176745
TX
Other
Enumeration date
10/10/2024
Last updated
10/10/2024
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