Individual
MR. NICHOLAS EUGENE CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
8401 VALLEY RANCH PKWY E, IRVING, TX 75063-5405
(972) 968-5061
(972) 968-5145
Mailing address
8401 VALLEY RANCH PKWY E, IRVING, TX 75063-5405
(972) 968-5061
(972) 968-5145
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT3288
TX
Other
Enumeration date
10/20/2009
Last updated
10/20/2009
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