Clark, Neil Gordon

Clark, Neil Gordon is an individual health care provider with primary practice located at 36065 Santa Fe Ave , Fort Cavazos TX 76544-5060. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Clark, Neil Gordon can be contacted via phone (254) 288-8000.

Contact Information

Primary practice address
36065 Santa Fe Ave Fort Cavazos TX 76544-5060
Phone: (254) 288-8000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 0101273264 Virginia

Profile Details

NPI number 1093335861
LBN Legal business name Clark, Neil Gordon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 22nd, 2020
Last updated Jul 8th, 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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