Clark, Carlos Adrian

Clark, Carlos Adrian is an individual health care provider with primary practice located at 301 University Blvd Uhc 4Th Floor, Route 1188, Galveston TX 77555-0462. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Clark, Carlos Adrian can be contacted via phone (409) 772-4182.

Contact Information

Primary practice address
301 University Blvd Uhc 4Th Floor, Route 1188 Galveston TX 77555-0462
Phone: (409) 772-4182
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X BP1-0022243 Texas

Profile Details

NPI number 1932303591
LBN Legal business name Clark, Carlos Adrian
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2007
Last updated May 1st, 2009 - about 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1932303591 NPPES
Texas Other M9217 TEXAS LICENSE

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