Clark, Charles Leroy
Clark, Charles Leroy is an individual health care provider with primary practice located at 5441 Health Center Dr , Abilene TX 79606. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Retina Specialist. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Clark, Charles Leroy can be contacted via phone (325) 673-9806.Contact Information
Primary practice address
5441 Health Center Dr
Abilene TX 79606
Phone: (325) 673-9806
Fax: (325) 673-9809
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | ME119554 | Florida |
| Allopathic & Osteopathic Physicians / Retina Specialist | 207WX0107X | R2830 | Texas |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | R2830 | Texas |
Profile Details
| NPI number | 1912158627 |
|---|---|
| LBN Legal business name | Clark, Charles Leroy |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 1st, 2008 |
| Last updated | Jul 21st, 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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