Clark, Thomas A
Clark, Thomas A is an individual health care provider with primary practice located at 5700 N Expressway # 77 Suite 102, Brownsville TX 78526-4353. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Clark, Thomas A can be contacted via phone (956) 350-6561.Contact Information
Primary practice address
5700 N Expressway # 77 Suite 102
Brownsville TX 78526-4353
Phone: (956) 350-6561
Fax: (956) 350-6700
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | F2598 | Texas |
Profile Details
NPI number | 1437118536 |
---|---|
LBN Legal business name | Clark, Thomas A |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 20th, 2006 |
Last updated | Aug 30th, 2012 - about 12 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1437118536 | NPPES |
Texas | MEDICAID | 045632902 |
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