Individual
DANIEL LEE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2151 HARVEY MITCHELL PKWY S STE 227, COLLEGE STATION, TX 77840-5242
(979) 693-7672
Mailing address
2151 HARVEY MITCHELL PKWY S STE 227, COLLEGE STATION, TX 77840-5242
(979) 693-7672
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
CR2016-000553
TX
Other
Enumeration date
02/11/2020
Last updated
02/11/2020
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