Clarke, John Samuel

Clarke, John Samuel is an sole proprietor health care provider with primary practice located at 119 Lake Bluff Dr , Bullard TX 75757-9740. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery). Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) is his primary health care specialty. Clarke, John Samuel can be contacted via phone (903) 825-1981.

Contact Information

Primary practice address
119 Lake Bluff Dr Bullard TX 75757-9740
Phone: (903) 825-1981
Fax: (903) 825-3375
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X G9082 Texas
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X G9082 Texas

Profile Details

NPI number 1003811928
LBN Legal business name Clarke, John Samuel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 16th, 2005
Last updated Aug 12th, 2008 - 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 1003811928 NPPES
Texas MEDICAID 110348302

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