Individual
DR. MARILYN K. CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2401 S 31ST ST, TEMPLE, TX 76508-0001
(254) 724-2111
Mailing address
PO BOX 847408, DALLAS, TX 75284-7408
(254) 724-2111
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
J1930
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1056921-01
—
TX
01
—
1056921-02
CSHCN
TX
01
—
660003146
RR/MEDICARE
TX
01
—
81756Y
BLUE SHIELD
TX
Enumeration date
03/24/2006
Last updated
01/13/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us