Patricia Clark is a Family in Benbrook, Texas. Patricia Clark practices all healthcare services and medical treatments related to Family. The NPI Number for Patricia Clark is 1427052752. The last update date is 2022-02-25.
Patricia Clark's current location address is 114 Sproles Dr Ste 101, Benbrook, Texas. You can contact this provider via phone number 8172494100 and fax number 8172494185. The mailing address for Patricia Clark is 114 Sproles Dr Ste 101, Benbrook, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Patricia Clark |
|---|---|
| Address | 114 Sproles Dr Ste 101, Benbrook, Texas |
| Phone Number | 8172494100 |
| Fax Number | 8172494185 |
| Sole Proprietor | N |
| Credentials | FNP |
NPI Number Detail
| NPI Number | 1427052752 |
|---|---|
| Provider Enumeration Date | 2005-06-01 |
| Last Updated Date | 2022-02-25 |
Provider Mailing Address Detail
| Address | 114 Sproles Dr Ste 101 |
|---|---|
| City | Benbrook |
| State | Texas (TX) |
| Post Code | 7612632490 |
| Phone Number | 8172494100 |
| Fax Number | 8172494185 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | AP109311 |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 150674306 | TX | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Patricia Clark by the Centers for Medicare & Medicaid Services?
The Patricia Clark has been issued the NPI (National Provider Identifier) 1427052752 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Patricia Clark's facilities are geographically located?
The facilities of Patricia Clark are physically situated at the following location: 114 Sproles Dr Ste 101, Benbrook, TX, 7612632490.
What is Patricia Clark's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Patricia Clark is Family, and the taxonomy code that classifies this field of practice is 363Lf0000X.
On what date did the Patricia Clark receive the assignment of its 1427052752 from the Centers for Medicare & Medicaid Services?
The Patricia Clark was issued its 1427052752 by the Centers for Medicare & Medicaid Services on 2005-06-01.
As of what date were the details pertaining to Patricia Clark last refreshed?
The information related to the Patricia Clark, including its address, specialty, and other relevant details, was last updated on 2022-02-25.
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