Clark Driver

NPI #1508263732 in Ft Worth, Texas

Provider Information

NPI Number: 1508263732
Entity Type: Individual
Name: Clark Driver
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Prosthetist
Enumeration Date: Dec 3, 2014
Last Updated: Dec 3, 2014

Practice Location

Address: 1401 W MAGNOLIA AVE
City: Ft Worth
State: Texas
ZIP Code: 76104-4250
Phone: (817) 923-2101

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthotist	222Z00000X
Prosthetist	224P00000X	Primary

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Organizations

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