Individual
CHANIN MCCLURKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
10413 WALPOLE LN, AUSTIN, TX 78739-1553
(310) 713-4847
Mailing address
10413 WALPOLE LN, AUSTIN, TX 78739-1553
(310) 713-4847
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP129806
TX
Other
Enumeration date
08/26/2016
Last updated
04/04/2017
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