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Individual
CLARK HAYDEN STEARNS
Active
Individual
CLARK HAYDEN STEARNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
E-6633
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00TX44
BLUE SHIELD
—
05
—
1312449
—
TX
Enumeration date
10/21/2010
Last updated
10/21/2010
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