Individual
STEPHEN SIDNEY CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3705 MEDICAL PKWY, SUITE 250, AUSTIN, TX 78705-1019
(512) 302-1210
Mailing address
3705 MEDICAL PKWY, SUITE 250, AUSTIN, TX 78705-1019
(512) 334-1885
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
D4955
TX
Other
Enumeration date
01/10/2006
Last updated
02/16/2012
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