Individual
DIANE CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
8219 GOLDEN HBR, MISSOURI CITY, TX 77459-6905
(281) 438-5116
Mailing address
8219 GOLDEN HBR, MISSOURI CITY, TX 77459-6905
(281) 438-5116
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
243763
TX
Other
Enumeration date
11/01/2018
Last updated
11/01/2018
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