Healthcare Provider Details

I. General information

NPI: 1881479046
Provider Name (Legal Business Name): CLAIRE NATALI JACOT CLC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CLAIRE NATALI INGRAFFIA

II. Dates (important events)

Enumeration Date: 08/28/2023
Last Update Date: 08/28/2023
Certification Date: 08/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26077 NELSON WAY STE 601
KATY TX
77494-6679
US

IV. Provider business mailing address

3007 WOODLAND HILLS DR # 205
KINGWOOD TX
77339-1403
US

V. Phone/Fax

Practice location:
  • Phone: 281-305-0411
  • Fax: 281-572-0627
Mailing address:
  • Phone: 281-305-0411
  • Fax: 281-572-0627

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174N00000X
TaxonomyLactation Consultant (Non-RN)
License NumberCLC
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: