Individual
DR. CHRISTOPHER A CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6606 LYNDON B JOHNSON FWY STE 200, DALLAS, TX 75240-6524
(972) 233-1999
Mailing address
PO BOX 840853, DALLAS, TX 75284-0853
(972) 233-1999
(972) 233-1999
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
K8731
TX
207LP3000X
Pediatric Anesthesiology Physician
K8731
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150100902
—
TX
05
—
150100903
—
TX
05
—
150100905
—
TX
05
—
150100906
—
TX
05
—
150100907
—
TX
05
—
150100908
—
TX
05
—
200470510A
—
OK
01
—
8CM707
BCBS
TX
01
—
P00956691
RAILROAD
TX
Enumeration date
02/09/2007
Last updated
06/30/2020
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