Clifford, Christine A

Clifford, Christine A is an individual health care provider with primary practice located at 3840 Hulen St Htn, Client Accounting, Fort Worth TX 76107-7277. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Clifford, Christine A can be contacted via phone (817) 569-4395.

Contact Information

Primary practice address
3840 Hulen St Htn, Client Accounting Fort Worth TX 76107-7277
Phone: (817) 569-4395
Fax: (817) 569-4517
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X DT04323 Texas

Profile Details

NPI number 1154464279
LBN Legal business name Clifford, Christine A
Credentials R.D., L.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2007
Last updated Apr 20th, 2010 - about 16 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1154464279 NPPES
Texas MEDICAID 004945401
Texas Other 8J3513

Popular Providers