Organization
LEWIS K. CLARKE, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEWIS K CLARKE M.D. (OWNER)
(281) 332-1755
Entity
Organization
Contact information
Practice address
17448 HIGHWAY 3, SUITE 130, WEBSTER, TX 77598-4197
(281) 332-1755
(281) 332-2737
Mailing address
PO BOX 57995, WEBSTER, TX 77598-7995
(281) 332-1755
(281) 332-2737
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
080029401
—
TX
Enumeration date
08/23/2006
Last updated
06/11/2008
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