Individual
DR. PAUL RAY CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11515 EL CAMINO REAL STE 150, SAN DIEGO, CA 92130-3037
(858) 720-1440
Mailing address
6431 FANNIN ST, MSB 4.331, HOUSTON, TX 77030-1501
(713) 500-7216
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
A18267
CA
Other
Enumeration date
03/30/2015
Last updated
03/05/2024
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