Organization
WILLIAM CLARK MEDICAL GROUP PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM D CLARK M.D. (PRESIDENT)
(281) 272-0888
Entity
Organization
Contact information
Practice address
133 NORTHPOINT DR, HOUSTON, TX 77060-3207
(281) 272-0888
(713) 695-7765
Mailing address
PO BOX 670188, HOUSTON, TX 77267-0188
(281) 272-0888
(281) 272-0895
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
E4818
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
083833601
—
TX
05
—
130727402
—
TX
05
—
130727403
—
TX
05
—
1760445704
—
TX
05
—
1790828648
—
TX
Enumeration date
02/14/2007
Last updated
07/01/2011
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