Individual
MARK CLIFTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
304 BEVERLY ST, LONGVIEW, TX 75601-3701
(903) 926-8058
Mailing address
304 BEVERLY ST, LONGVIEW, TX 75601-3701
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2100059
TX
Other
Enumeration date
04/26/2018
Last updated
04/26/2018
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