Organization
CLARK INTEGRATED PLLC
Active
Organization
CLARK INTEGRATED PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA GOMEZ (DIRECTOR)
(210) 379-1819
Entity
Organization
Contact information
Practice address
2211 FRY RD STE O, KATY, TX 77449-6233
(210) 379-1819
Mailing address
13236 N. 7TH ST, SUITE 4 #289, PHOENIX, AZ 85022
(210) 379-1819
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
12/07/2020
Last updated
12/07/2020
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