Provider Demographics
NPI: | 1427305358 |
---|---|
Name: | CLAPP, MARA ALEXANDRA (MD) |
Entity type: | Individual |
Prefix: | DR |
First Name: | MARA |
Middle Name: | ALEXANDRA |
Last Name: | CLAPP |
Suffix: | |
Gender: | F |
Credentials: | MD |
Other - Prefix: | |
Other - First Name: | |
Other - Middle Name: | |
Other - Last Name: | |
Other - Suffix: | |
Other - Last Name Type: | |
Other - Credentials: | |
Mailing Address - Street 1: | PO BOX 631607 |
Mailing Address - Street 2: | |
Mailing Address - City: | CINCINNATI |
Mailing Address - State: | OH |
Mailing Address - Zip Code: | 45263-8336 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 713-796-9888 |
Mailing Address - Fax: | 713-796-9898 |
Practice Address - Street 1: | 7900 FANNIN ST STE 2700 |
Practice Address - Street 2: | |
Practice Address - City: | HOUSTON |
Practice Address - State: | TX |
Practice Address - Zip Code: | 77054-2948 |
Practice Address - Country: | US |
Practice Address - Phone: | 713-796-9888 |
Practice Address - Fax: | 713-796-9898 |
Is Sole Proprietor?: | No |
Enumeration Date: | 2012-08-09 |
Last Update Date: | 2025-03-20 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
NY | 273920 | 207V00000X |
390200000X | ||
TX | R0700 | 207VE0102X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 207VE0102X | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | Reproductive Endocrinology |
No | 207V00000X | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | |
No | 390200000X | Student, Health Care | Student in an Organized Health Care Education/Training Program |