Individual
MS. PATRICIA ANN CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
333 N SANTA ROSA ST, SAN ANTONIO, TX 78207-3108
(210) 704-2187
(210) 704-3566
Mailing address
315 N SAN SABA, SUITE 1135, SAN ANTONIO, TX 78207-3154
(210) 704-4275
(210) 704-4527
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
650133
TX
Other
Enumeration date
09/07/2011
Last updated
02/04/2015
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