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:
Health care specialties
Specialty | Code | License # | 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 3 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1225292386 | NPPES |
Texas | Other | PA03095 | PA LICENSE |
Texas | MEDICAID | 320252502 | PA LICENSE |
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