Individual
DR. PAULINE A CLANSY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
EDD
Contact information
Practice address
8303 SOUTHWEST FREEWAY, SUITE 640, HOUSTON, TX 77074
(713) 777-8633
(713) 777-5259
Mailing address
8303 SOUTHWEST FREEWAY, SUITE 640, HOUSTON, TX 77074
(713) 777-8633
(713) 777-5259
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
23329
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
032855101
—
TX
01
—
10016219
AMERIGROUP
TX
01
—
4356701
AETNA
—
01
—
760236166
MAGELLAN
TX
Enumeration date
09/20/2006
Last updated
07/08/2007
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