Clark, Audra Tess
Clark, Audra Tess is an sole proprietor health care provider with primary practice located at 5201 Harry Hines Blvd Graduate Medical Education, Dallas TX 75235-7708. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgical Critical Care, which is considered as her primary health care specialty. Clark, Audra Tess can be contacted via phone (214) 590-8058.Contact Information
Primary practice address
5201 Harry Hines Blvd Graduate Medical Education
Dallas TX 75235-7708
Phone: (214) 590-8058
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Surgical Critical Care | 2086S0102X | Q9593 | Texas |
Profile Details
NPI number | 1578907945 |
---|---|
LBN Legal business name | Clark, Audra Tess |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Apr 29th, 2013 |
Last updated | Aug 30th, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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