Clare, Charlotte Nanette

Clare, Charlotte Nanette is an individual health care provider with primary practice located at 4502 Medical Dr , San Antonio TX 78229-4402. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as her primary health care specialty. Clare, Charlotte Nanette can be contacted via phone (210) 257-1400.

Contact Information

Primary practice address
4502 Medical Dr San Antonio TX 78229-4402
Phone: (210) 257-1400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X E5321 Texas

Profile Details

NPI number 1265549240
LBN Legal business name Clare, Charlotte Nanette
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2006
Last updated Jan 19th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265549240 NPPES
Texas Other 102348302 CIDC
Texas MEDICAID 102348301 CIDC

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