Healthcare Provider Details
I. General information
NPI: 1326326976
Provider Name (Legal Business Name): MARGARET CLARK SALDIVAR RT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 08/01/2011
Last Update Date: 08/01/2011
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4321 CREEKBEND DR
HOUSTON TX
77035-5009
US
IV. Provider business mailing address
4321 CREEKBEND DR
HOUSTON TX
77035-5009
US
V. Phone/Fax
- Phone: 713-501-1495
- Fax: 281-605-5870
- Phone: 713-501-1495
- Fax: 281-605-5870
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2279G1100X |
| Taxonomy | General Care Registered Respiratory Therapist |
| License Number | 50732 |
| License Number State | TX |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: