Clarke, Roy Adrian

Clarke, Roy Adrian is an individual health care provider with primary practice located at 7777 Forest Ln Ste B300 , Dallas TX 75230-2571. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Clarke, Roy Adrian can be contacted via phone (972) 284-7770.

Contact Information

Primary practice address
7777 Forest Ln Ste B300 Dallas TX 75230-2571
Phone: (972) 284-7770
Fax: (972) 284-7780
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X L4305 Texas

Profile Details

NPI number 1194717322
LBN Legal business name Clarke, Roy Adrian
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2005
Last updated Mar 12th, 2020 - about 6 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 1194717322 NPPES
Texas MEDICAID 153786204
Texas MEDICAID 153786203

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