Individual
DR. CLARK AARON MEADOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
5701 BRYANT IRVIN RD, SUITE 301, FORT WORTH, TX 76132-4029
(817) 361-6200
(817) 361-6201
Mailing address
5701 BRYANT IRVIN RD, SUITE 301, FORT WORTH, TX 76132-4029
(817) 361-6200
(817) 361-6201
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
N7309
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3057036-01
—
TX
Enumeration date
07/06/2009
Last updated
01/08/2013
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