Clark, Madison

Clark, Madison is an individual health care provider with primary practice located at 5323 Harry Hines Blvd , Dallas TX 75390-4231. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Clark, Madison can be contacted via phone (214) 648-3111.

Contact Information

Primary practice address
5323 Harry Hines Blvd Dallas TX 75390-4231
Phone: (214) 648-3111
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA16548 Texas

Profile Details

NPI number 1992417810
LBN Legal business name Clark, Madison
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2022
Last updated Aug 16th, 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.

Request for update

Popular Providers