Individual
DR. CRAIG M CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
955 DAIRY ASHFORD ST, SUITE 107, HOUSTON, TX 77079-5310
(281) 531-7000
(281) 531-7023
Mailing address
26615 OAK RIDGE DR, THE WOODLANDS, TX 77380-1968
(281) 296-8600
(281) 296-9509
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11770
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
152800201
—
TX
05
—
152800203
—
TX
05
—
152800204
—
TX
05
—
152800205
—
TX
05
—
152800206
—
TX
Enumeration date
08/21/2006
Last updated
07/08/2007
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