Clark, Susan D.

Clark, Susan D. is an individual health care provider with primary practice located at 1353 N Travis St , Liberty TX 77575-3549. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Clark, Susan D. can be contacted via phone (936) 336-5881.

Contact Information

Primary practice address
1353 N Travis St Liberty TX 77575-3549
Phone: (936) 336-5881
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP128323 Texas

Profile Details

NPI number 1770964991
LBN Legal business name Clark, Susan D.
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2015
Last updated Jun 12th, 2015 - about 9 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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