Individual
DR. CARLOS ADRIAN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
400 HARBORSIDE DR, STE 105-107, GALVESTON, TX 77555-0001
(409) 747-1883
(409) 747-8579
Mailing address
708 10TH ST, GALVESTON, TX 77550-5116
(409) 974-4594
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
BP1-0022243
TX
207R00000X
Internal Medicine Physician
Primary
M9217
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M9217
TEXAS LICENSE
TX
Enumeration date
06/14/2007
Last updated
03/16/2026
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