Provider Demographics
NPI:1003283573
Name:STEINKE, CLARISSA ANN (CSA)
Entity Type:Individual
Prefix:MS
First Name:CLARISSA
Middle Name:ANN
Last Name:STEINKE
Suffix:
Gender:F
Credentials:CSA
Other - Prefix:MS
Other - First Name:CLARISSA
Other - Middle Name:ANN
Other - Last Name:SHELLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3211 WOOD CANYON CT
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459
Mailing Address - Country:US
Mailing Address - Phone:832-607-4314
Mailing Address - Fax:
Practice Address - Street 1:3211 WOOD CANYON CT
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459
Practice Address - Country:US
Practice Address - Phone:832-607-4314
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-31
Last Update Date:2015-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15-105246ZC0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant