Individual
DR. THOMAS A CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5700 N EXPRESSWAY # 77, SUITE 102, BROWNSVILLE, TX 78526-4353
(956) 350-6561
(956) 350-6700
Mailing address
5700 N EXPRESSWAY # 77, SUITE 102, BROWNSVILLE, TX 78526-4353
(956) 350-6561
(956) 350-6700
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
F2598
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
045632902
—
TX
Enumeration date
03/20/2006
Last updated
08/30/2012
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