Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NI0013X | Independent Medical Examiner | 6179 | TX |
NPI | 1407282007 |
---|---|
Provider Name | Dr. Karen Clark-Singh |
First Address | Robstown, TX 78380-5703 |
Second Address | Corpus Christi, TX 78404-2525 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/09/2013 |
Last Update Date | 16/09/2013 |