Individual
SUMMER CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1611 WALLACE BLVD, AMARILLO, TX 79106-1799
(063) 544-9008
Mailing address
1611 WALLACE BLVD, AMARILLO, TX 79106-1799
(806) 354-4900
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
S1580
TX
Other
Enumeration date
06/24/2014
Last updated
06/04/2019
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