Charles, Clifton Earl

Charles, Clifton Earl is an individual health care provider with primary practice located at 435 Murphy Rd Ste B1344 , Stafford TX 77477-5421. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Charles, Clifton Earl can be contacted via phone (832) 440-0827.

Contact Information

Primary practice address
435 Murphy Rd Ste B1344 Stafford TX 77477-5421
Fax: (832) 415-2472
Website:

Health care specialties

Profile Details

NPI number 1689769184
LBN Legal business name Charles, Clifton Earl
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2006
Last updated May 16th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689769184 NPPES
Texas Other 1689769184 NPI
Texas MEDICAID 189923903 NPI

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