Individual
DAVID W CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2401 S 31ST ST, TEMPLE, TX 76508-0001
(254) 724-2111
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-8800
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
A110623
CA
207Y00000X
Otolaryngology Physician
Primary
N8175
TX
Other
Enumeration date
03/15/2010
Last updated
01/13/2021
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