Individual
DR. GARY DAVID CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6701 FANNIN ST, HOUSTON, TX 77030-2316
(832) 822-5046
(832) 825-3504
Mailing address
6701 FANNIN ST, HOUSTON, TX 77030-2316
(832) 822-5046
(832) 825-3504
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
J7451
TX
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
J7451
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
133132401
—
TX
Enumeration date
10/17/2006
Last updated
05/26/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us