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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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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