# RIO GRANDE VALLEY VEIN CLINIC PA

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

## Provider details

- **NPI number:** 1558330456
- **Authorized official:** DR. THOMAS A CLARK MD (DOCTOR)
- **Authorized official phone:** (956) 428-4446

## Contact information

- **Practice address:** 2107 HAINE DR, HARLINGEN, TX 78550-8546
- **Practice address phone:** (956) 423-3335
- **Practice address fax:** (956) 421-5820
- **Mailing address:** PO BOX 2918, HARLINGEN, TX 78551-2918
- **Mailing address phone:** (956) 428-4446
- **Mailing address fax:** (956) 428-1266

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | — | NULL | Yes |
| 2086S0129X | Vascular Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/14/2006
- **Last updated:** 08/29/2007
