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NPI Code Detail

MEDICARE: MRS. CARLY MORGAN CLARK

MEDICARE: MRS. CARLY MORGAN CLARK
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
1163W00000XRegistered Nurse982691TX

General Provider Information

NPI Number : 1184550303
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CARLY MORGAN CLARK
Provider Business Mailing Address
First Line : 342 CAMDEN HLS W
Second Line :
City : MONTGOMERY
State : TX
Zip : 77356-8170
Country : US
Telephone Number : 409-289-7957
Fax Number :
Provider Business Practice Location Address
First Line : 110 MEMORIAL HOSPITAL DR
Second Line :
City : HUNTSVILLE
State : TX
Zip : 77340-4940
Country : US
Telephone Number : 936-291-3411
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/23/2026
Last Update Date : 06/23/2026

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Directions to “ MRS. CARLY MORGAN CLARK ” Practice Location

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