Organization
RICHARD CLARKE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD CARLISLE CLARKE MD (ANESTHESIOLOGIST)
(361) 876-8054
Entity
Organization
Contact information
Practice address
7421 LAKE MICALA DR, CORPUS CHRISTI, TX 78413-5823
(361) 876-8054
Mailing address
7421 LAKE MICALA DR, CORPUS CHRISTI, TX 78413-5823
(361) 876-8054
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
234604
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
155855301
—
LA
Enumeration date
08/20/2014
Last updated
08/20/2014
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