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:
Health care specialties
Specialty | Code | License # | 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 2 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
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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