Individual
MISS CLAIRE MACPHERSON KOLB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1264 TAMU, COLLEGE STATION, TX 77843-0001
(979) 458-8300
(979) 458-8319
Mailing address
1264 TAMU, COLLEGE STATION, TX 77843-0001
(979) 458-8300
(979) 458-8319
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA07372
TX
363A00000X
Physician Assistant
TEMP LICENSE
TX
Other
Enumeration date
07/11/2011
Last updated
07/01/2021
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