Peggy Sue Clark-Holden, RN BSN
Registered Nurse, General Practice in Irving, TX. Individual provider (NPI-1).
NPI number1447735618
StatusActive
Last updated in NPPESOct 3, 2018
Details
- NPI
- 1447735618
- Entity type
- Individual (NPI-1)
- Name
- Peggy Sue Clark-Holden
- Credential
- RN BSN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 3, 2018
- Last updated
- Oct 3, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WG0000X | Registered Nurse, General Practice | 855933 | TX | Yes |
Practice location
1004 Old Mill CirIrving, TX 75061-6125
Phone 972-467-4559
Mailing address
1004 Old Mill CirIrving, TX 75061-6125
Phone 972-467-4559
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