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Erica Clack
NPI 1639734502 · on the registry since 2019
Practice
- Address
- 406 E Planters St
San Augustine, TX 75972 - Phone
- (936) 201-2132
Registry record
- Primary taxonomy
- 164X00000X
164X00000X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-05-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas