Clark, Randall Edward

Clark, Randall Edward is an sole proprietor health care provider with primary practice located at 918 E Southlake Blvd , Southlake TX 76092-6344. He recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as his primary health care specialty. Clark, Randall Edward can be contacted via phone (214) 504-5651.

Contact Information

Primary practice address
918 E Southlake Blvd Southlake TX 76092-6344
Phone: (214) 504-5651
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1013336437
LBN Legal business name Clark, Randall Edward
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 14th, 2014
Last updated Apr 14th, 2014 - about 12 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.

Request for update

Popular Providers