Individual
MR. WAREN G CLARK JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3301 N FM 1417 APT 1414, SHERMAN, TX 75092-3468
(469) 975-9535
Mailing address
3301 N FM 1417 APT 1414, SHERMAN, TX 75092-3468
(469) 975-9535
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
TX
347C00000X
Private Vehicle
—
TX
Other
Enumeration date
10/31/2018
Last updated
10/31/2018
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