# GLORIA CLARK, MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407014855
- **Authorized official:** DR. GLORAI CLARK M.D. (OWNER)
- **Authorized official phone:** (915) 598-7900

## Contact information

- **Practice address:** 10201 GATEWAY BLVD W, SUITE 400, EL PASO, TX 79925-7652
- **Practice address phone:** (915) 598-7900
- **Practice address fax:** (915) 598-7902
- **Mailing address:** 10201 GATEWAY BLVD W, SUITE 400, EL PASO, TX 79925-7652
- **Mailing address phone:** (915) 598-7900
- **Mailing address fax:** (915) 598-7902

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | J8961 | TX | Yes |

## Other

- **Enumeration date:** 06/01/2008
- **Last updated:** 06/01/2008