Clark, Australia D
Clark, Australia D is an individual health care provider with primary practice located at 227 State Highway 75 N Ste 130 , Huntsville TX 77320. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Clark, Australia D can be contacted via phone (936) 539-4004.Contact Information
Primary practice address
227 State Highway 75 N Ste 130
Huntsville TX 77320
Phone: (936) 539-4004
Fax: (936) 291-0746
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | Q1805 | Texas |
Profile Details
| NPI number | 1528329562 |
|---|---|
| LBN Legal business name | Clark, Australia D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 6th, 2012 |
| Last updated | May 3rd, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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