Individual
CHARLES LEROY CLARK III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5441 HEALTH CENTER DR, ABILENE, TX 79606
(325) 673-9806
(325) 673-9809
Mailing address
5441 HEALTH CENTER DR, ABILENE, TX 79606-1224
(325) 673-9806
(325) 673-9809
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
ME119554
FL
207W00000X
Ophthalmology Physician
Primary
R2830
TX
207WX0107X
Retina Specialist (Ophthalmology) Physician
R2830
TX
Other
Enumeration date
10/01/2008
Last updated
07/21/2022
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