Individual
WILLIAM D CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
333 N SANTA ROSA STREET, GOLDSBURY CENTER LOWER LEVEL, SAN ANTONIO, TX 78207-3108
(210) 704-2335
(210) 704-2335
Mailing address
333 N SANTA ROSA STREET, GOLDSBURY CENTER LOWER LEVEL, SAN ANTONIO, TX 78207-3108
(210) 704-2335
(210) 704-4723
Taxonomy
Speciality
Code
Description
License number
State
207YP0228X
Pediatric Otolaryngology Physician
Primary
D6986
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115705908
—
TX
Enumeration date
03/30/2006
Last updated
10/05/2011
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