Clark, Jerry Doyle

Clark, Jerry Doyle is an individual health care provider with primary practice located at 3650 Laurel St , Beaumont TX 77707-2216. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Clark, Jerry Doyle can be contacted via phone (409) 838-0346.

Contact Information

Primary practice address
3650 Laurel St Beaumont TX 77707-2216
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X G2345 Texas

Profile Details

NPI number 1083698898
LBN Legal business name Clark, Jerry Doyle
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2005
Last updated Dec 11th, 2007 - about 17 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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