Clark, David J

Clark, David J is an sole proprietor health care provider with primary practice located at 1072 E Los Ebanos Blvd , Brownsville TX 78520-9988. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Clark, David J can be contacted via phone (956) 541-1278.

Contact Information

Primary practice address
1072 E Los Ebanos Blvd Brownsville TX 78520-9988
Phone: (956) 541-1278
Fax: (956) 541-2854
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 539933 Texas

Profile Details

NPI number 1609890607
LBN Legal business name Clark, David J
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 26th, 2006
Last updated Jul 8th, 2007 - about 18 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 1609890607 NPPES
Texas MEDICAID 006838903

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