Randall Edward Clark JR.

NPI #1013336437 in Southlake, Texas

Provider Information

NPI Number
1013336437
Entity Type
Individual
Name
Randall Edward Clark JR.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Apr 14, 2014
Last Updated
Apr 14, 2014

Practice Location

Address
918 E SOUTHLAKE BLVD
State
Texas
ZIP Code
76092-6344
Phone
(214) 504-5651

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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