Individual
DR. DAVE F CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1301 BARBARA JORDAN BLVD, SUITE #200, AUSTIN, TX 78723-3077
(512) 628-1850
(512) 628-1851
Mailing address
1301 BARBARA JORDAN BLVD, SUITE 200, AUSTIN, TX 78723-3077
(512) 628-1850
(512) 628-1851
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
L6832
TX
2084N0600X
Clinical Neurophysiology Physician
L6832
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
160914103
—
TX
Enumeration date
04/26/2006
Last updated
01/10/2012
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