Clark, Chris A

Clark, Chris A is an individual health care provider with primary practice located at 5345 N George Bush Fwy , Garland TX 75040-2767. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Clark, Chris A can be contacted via phone (972) 495-5888.

Contact Information

Primary practice address
5345 N George Bush Fwy Garland TX 75040-2767
Phone: (972) 495-5888
Fax: (972) 495-0588
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X J9478 Texas

Profile Details

NPI number 1760457857
LBN Legal business name Clark, Chris A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2006
Last updated Jan 17th, 2023 - about last year

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 1760457857 NPPES
Texas Other 7885130 AETNA NON-HMO
Texas MEDICAID 198853701 AETNA NON-HMO
Texas Other 0049EN AETNA NON-HMO
Texas Other 2356360 AETNA NON-HMO

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