Individual
DR. JONATHAN CLARK RACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4700 SETON CENTER PKWY, SUITE 200, AUSTIN, TX 78759-4107
(512) 439-1000
(512) 439-1081
Mailing address
4700 SETON CENTER PKWY, SUITE 200, AUSTIN, TX 78759-4107
(512) 439-1000
(512) 439-1081
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
207X00000X
Orthopaedic Surgery Physician
Primary
E8829
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
141223101
—
TX
Enumeration date
08/07/2006
Last updated
03/21/2012
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