Michael G Clark, PA

NPI #1326006834 in Bedford, Texas

Provider Information

NPI Number
1326006834
Entity Type
Individual
Name
Michael G Clark, PA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
PA
Enumeration Date
May 3, 2006
Last Updated
Mar 15, 2012

Practice Location

Address
1305 AIRPORT FWY STE 305
State
Texas
ZIP Code
76021-6604
Phone
(817) 545-1355

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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