Individual
CLARK DON TERRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11124 WURZBACH RD, STE 206, SAN ANTONIO, TX 78230-2445
(210) 696-0076
(210) 697-7207
Mailing address
11124 WURZBACH RD, SUITE 206, SAN ANTONIO, TX 78230-2438
(210) 696-0076
(210) 697-7207
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
G8987
TX
Other
Enumeration date
07/15/2005
Last updated
07/12/2007
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