Clarke, Gerald P

Clarke, Gerald P is an individual health care provider with primary practice located at 3410 Far West Blvd Ste 140 , Austin TX 78731-3167. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Clarke, Gerald P can be contacted via phone (512) 427-1100.

Contact Information

Primary practice address
3410 Far West Blvd Ste 140 Austin TX 78731-3167
Phone: (512) 427-1100
Fax: (512) 427-1207
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X U9495 Texas
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 21638-020 Wisconsin

Profile Details

NPI number 1104988955
LBN Legal business name Clarke, Gerald P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2006
Last updated May 14th, 2024 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104988955 NPPES
Wisconsin MEDICAID 30380600

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