Clark, Robert

Clark, Robert is an individual health care provider with primary practice located at 1717 Precinct Line Rd Ste 200B , Hurst TX 76054-3197. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Clark, Robert can be contacted via phone (817) 369-3990.

Contact Information

Primary practice address
1717 Precinct Line Rd Ste 200B Hurst TX 76054-3197
Phone: (817) 369-3990
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X K7696 Texas
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X K7696 Texas

Profile Details

NPI number 1871541441
LBN Legal business name Clark, Robert
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2006
Last updated Oct 4th, 2019 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1871541441 NPPES
Texas MEDICAID 159818704

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