Organization
C CLARKE II MD GYN PA
Active
Other names
Carlton K Clarke II MD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARLTON KEITH CLARKE II M.D. (PHYSICIAN / OWNER)
(214) 316-0913
Entity
Organization
Contact information
Practice address
407 W I 30, GARLAND, TX 75043-5912
(972) 303-2222
(972) 303-2220
Mailing address
3308 PRESTON RD, STE 350, PMB 110, PLANO, TX 75093-7453
(972) 303-2222
(972) 303-2220
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
L4890
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00548H
OB/GYN SPECIALTY
TX
05
—
1529026-01
—
TX
Enumeration date
07/01/2008
Last updated
03/06/2009
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