P Praxis·MD
● Active Type 1 · Individual

MRS. Corrie Lynn Clark, RDN, LD

Dietitian, Registered·Boerne, TX· NPI 1396310116 · Enumerated 2021 · 5 years on NPI
Clark is 1 of 8 dietitian, registered providers in Boerne and 1 of 5402 in Texas.
NPI age
5 years
Enumerated 2021-05-24
Primary specialty
Dietitian, Registered
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2021-09-21
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 5402 active dietitian, registered providers in Texas.

NPI age
5 years
≈ at median (5 yr)
State licenses
1 state
2% of peers hold multiple states
Subspecialties
0
10% of peers hold subspecialties

NPI lifetime · 2021 → 2026

2021-05Enumerated in NPPES
2021 2026

Where they practice

Practice location
27402 Dana Creek Dr
Boerne, TX 780155066
📞 7073633125
Mailing address
27402 Dana Creek Dr
Boerne, TX 780155066
📞 7073633125

Specialties

  • Dietitian, Registered Primary
    A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based...
    TX license #DT83971 taxonomy 133V00000X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

Recently enumerated nearby: 1 new dietitian, registered provider has been added in Boerne in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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