# C CLARKE II MD GYN PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Carlton K Clarke II MD
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174785042
- **Authorized official:** DR. CARLTON KEITH CLARKE II M.D. (PHYSICIAN / OWNER)
- **Authorized official phone:** (214) 316-0913

## Contact information

- **Practice address:** 407 W I 30, GARLAND, TX 75043-5912
- **Practice address phone:** (972) 303-2222
- **Practice address fax:** (972) 303-2220
- **Mailing address:** 3308 PRESTON RD, STE 350, PMB 110, PLANO, TX 75093-7453
- **Mailing address phone:** (972) 303-2222
- **Mailing address fax:** (972) 303-2220

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | L4890 | TX | Yes |

## Other

- **Enumeration date:** 07/01/2008
- **Last updated:** 03/06/2009