Individual
MR. EARL E CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
1717 HIGHWAY 59 LOOP N, LIVINGSTON, TX 77351-5703
(936) 329-8500
Mailing address
111 WESTCHESTER ST, LUFKIN, TX 75901-7357
(936) 633-0606
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00503
TX
Other
Enumeration date
11/16/2006
Last updated
07/08/2007
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