Clark, Matthew Timothy
Clark, Matthew Timothy is an individual health care provider with primary practice located at 129 Vision Park Blvd Ste 307 , Shenandoah TX 77384-3024. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Clark, Matthew Timothy can be contacted via phone (936) 321-5440.Contact Information
Primary practice address
129 Vision Park Blvd Ste 307
Shenandoah TX 77384-3024
Phone: (936) 321-5440
Fax: (369) 271-3705
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | R2309 | Texas |
Profile Details
| NPI number | 1497072227 |
|---|---|
| LBN Legal business name | Clark, Matthew Timothy |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 4th, 2010 |
| Last updated | Nov 11th, 2020 - about 4 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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