Individual
NELSON A CLARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
7737 SOUTHWEST FWY, SUITE 201, HOUSTON, TX 77074-1807
(713) 776-0655
(713) 776-1069
Mailing address
PO BOX 3567, HOUSTON, TX 77253-3567
(713) 790-5227
(713) 790-5505
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA00593
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2036774-01
—
TX
01
—
83N428
BCBS
TX
Enumeration date
07/26/2005
Last updated
10/08/2009
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