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
Phone: (832) 440-0827
Fax: (832) 415-2472
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 63569 | Texas |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | Texas |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689769184 | NPPES |
| Texas | Other | 1689769184 | NPI |
| Texas | MEDICAID | 189923903 | NPI |
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