Individual
DR. GEORGE EDWARD CLARK III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3150 CLARKSVILLE ST, SUITE 100, PARIS, TX 75460-8076
(903) 782-9206
(903) 783-7352
Mailing address
3150 CLARKSVILLE ST, SUITE 100, PARIS, TX 75460-8076
(903) 782-9206
(903) 783-7352
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
E6284
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
124603503
—
TX
Enumeration date
06/29/2006
Last updated
01/30/2008
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