Provider Demographics
NPI:1669544284
Name:CLAIR, JOYCE K (APN)
Entity type:Individual
Prefix:MRS
First Name:JOYCE
Middle Name:K
Last Name:CLAIR
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2775 RIO HONDO RD
Mailing Address - Street 2:
Mailing Address - City:TARPLEY
Mailing Address - State:TX
Mailing Address - Zip Code:78883
Mailing Address - Country:US
Mailing Address - Phone:830-562-3426
Mailing Address - Fax:
Practice Address - Street 1:117 SOUTH SAUNDERS
Practice Address - Street 2:
Practice Address - City:BOERNE
Practice Address - State:TX
Practice Address - Zip Code:78006
Practice Address - Country:US
Practice Address - Phone:830-249-2600
Practice Address - Fax:830-249-2635
Is Sole Proprietor?:No
Enumeration Date:2006-11-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX632735363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX83N342Medicare ID - Type Unspecified