Clotworthy, Mackenzie

Clotworthy, Mackenzie is an individual health care provider with primary practice located at 4211 Watonga Blvd , Houston TX 77092-5324. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Clotworthy, Mackenzie can be contacted via phone (832) 548-5000.

Contact Information

Primary practice address
4211 Watonga Blvd Houston TX 77092-5324
Phone: (832) 548-5000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X AP127107 Texas
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X AP127107 Texas

Profile Details

NPI number 1629492277
LBN Legal business name Clotworthy, Mackenzie
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 18th, 2014
Last updated Mar 3rd, 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.

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