Provider Demographics
NPI:1356372635
Name:CLARKSON, AMBER MARIE (LM, CPM)
Entity type:Individual
Prefix:
First Name:AMBER
Middle Name:MARIE
Last Name:CLARKSON
Suffix:
Gender:F
Credentials:LM, CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:662 COMAL AVE
Mailing Address - Street 2:
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78130-7631
Mailing Address - Country:US
Mailing Address - Phone:830-625-5595
Mailing Address - Fax:
Practice Address - Street 1:662 COMAL AVE
Practice Address - Street 2:
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78130-7631
Practice Address - Country:US
Practice Address - Phone:830-625-5595
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX04012176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife