Clark, Charles Patrick

Clark, Charles Patrick is an individual health care provider with primary practice located at 6621 Fannin St, Houston , Houston TX 77030. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Clark, Charles Patrick can be contacted via phone (865) 313-8431.

Contact Information

Primary practice address
6621 Fannin St, Houston Houston TX 77030
Phone: (865) 313-8431
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X MA061372 Pennsylvania

Profile Details

NPI number 1760940753
LBN Legal business name Clark, Charles Patrick
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2019
Last updated Jul 20th, 2021 - about 4 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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