Clark, Tony Lee

Clark, Tony Lee is an sole proprietor health care provider with primary practice located at 610 Red Hills Road , Hatch NM 87937. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Clark, Tony Lee can be contacted via phone (575) 520-0292.

Contact Information

Primary practice address
610 Red Hills Road Hatch NM 87937
Phone: (575) 520-0292
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 75659 New Mexico

Profile Details

NPI number 1659869659
LBN Legal business name Clark, Tony Lee
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 25th, 2018
Last updated Jan 11th, 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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