Individual
BRENDA B CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4000 SPENCER HWY, PASADENA, TX 77504-1202
(713) 359-2000
Mailing address
4000 SPENCER HWY, PASADENA, TX 77504-1202
(713) 359-2000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
883631
TX
363L00000X
Nurse Practitioner
AP145214
TX
363LF0000X
Family Nurse Practitioner
Primary
AP145214
TX
Other
Enumeration date
09/21/2019
Last updated
07/01/2024
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