Individual
SANDRA LYNNE CLARKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-A, FAAA
Contact information
Practice address
901 HEMPHILL, FORT WORTH, TX 76104
(817) 332-4060
(817) 332-2304
Mailing address
PO BOX 961205, FORT WORTH, TX 76161-0205
(817) 740-8400
(817) 332-2304
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
50125
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00693135
RAILROAD MEDICARE
—
Enumeration date
06/18/2008
Last updated
02/18/2010
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