# WILLIAM CLARK MEDICAL GROUP PA

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

## Provider details

- **NPI number:** 1790828648
- **Authorized official:** WILLIAM D CLARK M.D. (PRESIDENT)
- **Authorized official phone:** (281) 272-0888

## Contact information

- **Practice address:** 133 NORTHPOINT DR, HOUSTON, TX 77060-3207
- **Practice address phone:** (281) 272-0888
- **Practice address fax:** (713) 695-7765
- **Mailing address:** PO BOX 670188, HOUSTON, TX 77267-0188
- **Mailing address phone:** (281) 272-0888
- **Mailing address fax:** (281) 272-0895

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | E4818 | TX | Yes |

## Other

- **Enumeration date:** 02/14/2007
- **Last updated:** 07/01/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 083833601 | — | TX |
| 05 | — | 130727402 | — | TX |
| 05 | — | 130727403 | — | TX |
| 05 | — | 1760445704 | — | TX |
| 05 | — | 1790828648 | — | TX |