Clark, Thomas A

Clark, Thomas A is an individual health care provider with primary practice located at 5700 N Expressway # 77 Suite 102, Brownsville TX 78526-4353. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Clark, Thomas A can be contacted via phone (956) 350-6561.

Contact Information

Primary practice address
5700 N Expressway # 77 Suite 102 Brownsville TX 78526-4353
Phone: (956) 350-6561
Fax: (956) 350-6700
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X F2598 Texas

Profile Details

NPI number 1437118536
LBN Legal business name Clark, Thomas A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2006
Last updated Aug 30th, 2012 - about 14 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 1437118536 NPPES
Texas MEDICAID 045632902

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