Individual
CANDICE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2617 W HOLCOMBE BLVD, HOUSTON, TX 77025-1757
(832) 831-7438
Mailing address
25410 CHINA SPGS, SPRING, TX 77373-8279
(832) 527-2999
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP132130
TX
Other
Enumeration date
10/05/2016
Last updated
10/05/2016
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