Provider Demographics
NPI:1841474459
Name:CLARY, RENEE M (PA-C)
Entity type:Individual
Prefix:MRS
First Name:RENEE
Middle Name:M
Last Name:CLARY
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:4710 BELLAIRE BLVD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:BELLAIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77401-4526
Mailing Address - Country:US
Mailing Address - Phone:713-661-1444
Mailing Address - Fax:713-661-6604
Practice Address - Street 1:4710 BELLAIRE BLVD
Practice Address - Street 2:SUITE 200
Practice Address - City:BELLAIRE
Practice Address - State:TX
Practice Address - Zip Code:77401-4526
Practice Address - Country:US
Practice Address - Phone:713-661-1444
Practice Address - Fax:713-661-6604
Is Sole Proprietor?:No
Enumeration Date:2007-12-19
Last Update Date:2012-09-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXPA05380207KA0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergy