Individual
MS. CLARE SON CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3708 JEFFERSON ST, STE A, AUSTIN, TX 78731-6206
(512) 459-6503
(512) 454-7453
Mailing address
3708 JEFFERSON ST, STE A, AUSTIN, TX 78731-6206
(512) 459-6503
(512) 454-7453
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP116943
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
338327501
—
TX
01
—
TXB166289
WELLMED PTAN
TX
Enumeration date
04/13/2009
Last updated
02/09/2016
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