MR. Earl E Clark, PAC

NPI #1861565046 in Livingston, Texas

Provider Information

NPI Number: 1861565046
Entity Type: Individual
Name: MR. Earl E Clark, PAC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PAC
Enumeration Date: Nov 16, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1717 HIGHWAY 59 LOOP N
City: Livingston
State: Texas
ZIP Code: 77351-5703
Phone: (936) 329-8500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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