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Takela Smith-clark
Psychiatric/Mental Health Nurse Practitioner in Pearland, Texas
NPI 1740864610

Takela Smith-clark is a Psychiatric/Mental Health Nurse Practitioner based in Pearland, TX and is specialized in Psychiatric/Mental Health. Takela Smith-clark practices in Pearland, TX. The NPI Number for Takela Smith-clark is 1740864610 and holds a License No. 1033007 (Texas).

The current practice location address for Takela Smith-clark is 2918 Dogwood Blossom Trl, Pearland, TX and can be reached out via phone at 832-633-7962.

Location: 2918 Dogwood Blossom Trl, Pearland, TX, 77581-5035
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1740864610
Provider Name
Takela Smith-clark
Credential
Provider Entity Type
Individual
Gender
Female
Address
2918 Dogwood Blossom Trl, Pearland, TX, 77581-5035
Phone Number
832-633-7962
Fax Number
Provider Enumeration Date
05/07/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1033007 01 TX BON LICENSE
institution
Provider Business Practice Location Address Details
Address
2918 Dogwood Blossom Trl
City
Pearland
State
Texas
Zip
77581-5035
Phone Number
832-633-7962
Fax Number
person
Provider Business Mailing Address Details
Address
2918 Dogwood Blossom Trl
City
Pearland
State
Texas
Zip
77581-5035
Phone Number
832-633-7962
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
1033007 (Texas)
Definition
Definition to come...
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