Clark, Sharla Rebekah

Clark, Sharla Rebekah is an individual health care provider with primary practice located at 1860 S Seguin Ave Bldg E., New Braunfels TX 78130-3914. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Clark, Sharla Rebekah can be contacted via phone (830) 626-7770.

Contact Information

Primary practice address
1860 S Seguin Ave Bldg E. New Braunfels TX 78130-3914
Phone: (830) 626-7770
Fax: (855) 278-4535
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA03095 Texas

Profile Details

NPI number 1225292386
LBN Legal business name Clark, Sharla Rebekah
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2008
Last updated Dec 13th, 2021 - about 4 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 1225292386 NPPES
Texas Other PA03095 PA LICENSE
Texas MEDICAID 320252502 PA LICENSE

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