Individual
DR. CARLTON K CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
407 W I 30, GARLAND, TX 75043-5912
(972) 240-8539
(972) 303-1994
Mailing address
407 W I 30, GARLAND, TX 75043-5912
(972) 240-8539
(972) 303-1994
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
F0154
TX
207Q00000X
Family Medicine Physician
Primary
F0154
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
033305601
—
TX
05
—
1033153192
—
TX
Enumeration date
06/16/2006
Last updated
10/29/2024
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