Clark, Steven Michael

Clark, Steven Michael is an individual health care provider with primary practice located at 12200 Preston Rd , Dallas TX 75230-2223. He recently has only one registered license in Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine, which is considered as his primary health care specialty. Clark, Steven Michael can be contacted via phone (972) 560-2667.

Contact Information

Primary practice address
12200 Preston Rd Dallas TX 75230-2223
Fax:
Website:

Health care specialties

Profile Details

NPI number 1164582383
LBN Legal business name Clark, Steven Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 11th, 2006
Last updated Jul 8th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1164582383 NPPES
Texas Other 85401Y BLUE CROSS

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