Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0202X | Pediatric Cardiologist | E3882 | TX |
NPI | 1083679187 |
---|---|
Provider Name | Dr. Sandra K Clapp |
First Address | Dallas, TX 75231-4405 |
Second Address | Dallas, TX 75231-4405 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/04/2006 |
Last Update Date | 28/01/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
B44781 | (02) | TX |