MEDICARE: NEFERTARI MCCLARITY NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	AP124589	TX

General Provider Information

NPI Number	:	1386074888
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NEFERTARI MCCLARITY NP

Provider Business Mailing Address
First Line	:	2401 FOUNTAIN VIEW DR STE
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77057-4819
Country	:	US
Telephone Number	:	832-261-7068
Fax Number	:	832-324-6929

Provider Business Practice Location Address
First Line	:	2401 FOUNTAIN VIEW DR STE
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77057-4819
Country	:	US
Telephone Number	:	832-261-7068
Fax Number	:	832-324-6929

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/19/2013
Last Update Date	:	04/24/2026

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