Clark, William D

Clark, William D is an individual health care provider with primary practice located at 333 N Santa Rosa Street Goldsbury Center Lower Level, San Antonio TX 78207-3108. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Otolaryngology, which is considered as his primary health care specialty. Clark, William D can be contacted via phone (210) 704-2335.

Contact Information

Primary practice address
333 N Santa Rosa Street Goldsbury Center Lower Level San Antonio TX 78207-3108
Phone: (210) 704-2335
Fax: (210) 704-2335
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Otolaryngology 207YP0228X D6986 Texas

Profile Details

NPI number 1306807268
LBN Legal business name Clark, William D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2006
Last updated Oct 5th, 2011 - about 13 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 1306807268 NPPES
Texas MEDICAID 115705908

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