Amanda Anne Clark, PA-C

NPI #1598180762 in Grapevine, Texas

Provider Information

NPI Number: 1598180762
Entity Type: Individual
Name: Amanda Anne Clark, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Feb 25, 2014
Last Updated: Jun 22, 2023

Practice Location

Address: 1600 W COLLEGE ST STE 490
City: Grapevine
State: Texas
ZIP Code: 76051-2106
Phone: (817) 912-8380

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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