Clarke, David B

Clarke, David B is an individual health care provider with primary practice located at 911 23Rd St , Canyon TX 79015-4600. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Clarke, David B can be contacted via phone (806) 655-2104.

Contact Information

Primary practice address
911 23Rd St Canyon TX 79015-4600
Phone: (806) 655-2104
Fax: (806) 655-0522
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X J4047 Texas

Profile Details

NPI number 1245241231
LBN Legal business name Clarke, David B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2006
Last updated Nov 6th, 2015 - about 10 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 1245241231 NPPES
Texas MEDICAID 092485403
Texas Other 8G5850
Texas MEDICAID 138727615
Texas Other 132153100

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