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Organization
JOSHUA CLARK MD PA
Active
Organization
JOSHUA CLARK MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSHUA MASON CLARK M.D. (PHYSICIAN OWNER)
(214) 542-2683
Entity
Organization
Contact information
Practice address
1441 N REDBUD BLVD, SUITE 111, MCKINNEY, TX 75069-3224
(972) 542-2683
Mailing address
1441 N REDBUD BLVD, SUITE 111, MCKINNEY, TX 75069-3224
(972) 542-2683
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
L8652
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L8652
PHYSICIAN LICENSE
TX
Enumeration date
10/27/2006
Last updated
03/07/2023
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