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NPI Code Detail

MEDICARE: DR. NORMA V. L CLARKE

MEDICARE: DR. NORMA V. L CLARKE
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
12084P0804XChild & Adolescent Psychiatry PhysicianL7691TX

General Provider Information

NPI Number : 1154446391
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NORMA V. L CLARKE
Provider Business Mailing Address
First Line : 2801 GESSNER DR
Second Line :
City : HOUSTON
State : TX
Zip : 77080-2503
Country : US
Telephone Number : 713-275-5000
Fax Number : 713-275-5370
Provider Business Practice Location Address
First Line : 2801 GESSNER DR
Second Line :
City : HOUSTON
State : TX
Zip : 77080-2503
Country : US
Telephone Number : 713-275-5000
Fax Number : 713-275-5370
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/20/2007
Last Update Date : 07/08/2007

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