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Organization
MARK A. CLOTHIER, M.D., P.A.
Active
Organization
MARK A. CLOTHIER, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK A. CLOTHIER M.D. (PRESIDENT)
(903) 342-3651
Entity
Organization
Contact information
Practice address
600 E COKE RD, WINNSBORO, TX 75494-3418
(903) 342-3651
(903) 342-6747
Mailing address
600 E COKE RD, WINNSBORO, TX 75494-3418
(903) 342-3651
(903) 342-6747
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G4920
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005445801
—
TX
01
—
060004887
RAILROAD MEDICARE
TX
Enumeration date
09/08/2010
Last updated
05/22/2013
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