Individual
MR. WILLIAM LEE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
1901 S 1ST ST, TEMPLE, TX 76504-7451
(254) 743-0827
Mailing address
3835 PINE NEEDLE LN, ROUND ROCK, TX 78681-2328
(512) 310-7359
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA04858
TX
363AS0400X
Surgical Physician Assistant
Primary
PA04858
TX
Other
Enumeration date
08/09/2006
Last updated
09/11/2025
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