Individual
CLARK W CRAIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
706 AVENUE G, MARBLE FALLS, TX 78654-5866
(830) 693-8234
(830) 693-9090
Mailing address
200 W OLLIE ST, LLANO, TX 78643-2628
(325) 247-5040
(325) 248-2108
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
J7937
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110940101
FIRSTCARE
TX
05
—
136901903
—
TX
05
—
136901908
—
TX
01
—
83015K
BCBS
TX
01
—
99367
SCOTT WHITE
TX
Enumeration date
11/18/2005
Last updated
01/11/2021
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