Individual
GAIL SUZAN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4314 YOAKUM BLVD, HOUSTON, TX 77006-5818
(713) 850-0049
(713) 850-0036
Mailing address
4314 YOAKUM BLVD, HOUSTON, TX 77006-5818
(713) 850-0049
(713) 850-0036
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA02727
TX
Other
Enumeration date
11/02/2007
Last updated
11/02/2007
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