Organization
LARK MEDICAL, INC
Active
Organization
LARK MEDICAL, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONYA R. BROYLES (OWNER)
(972) 567-9265
Entity
Organization
Contact information
Practice address
14022 CLEARVIEW CT, FORNEY, TX 75126-7123
(972) 567-9265
Mailing address
PO BOX 2022, FORNEY, TX 75126-2022
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
04/19/2010
Last updated
04/19/2010
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