Gail Suzan Clark PA-C

NPI 1386823615 - Physician Assistant - 363A00000X

NPI Details
NPI 1386823615
Gender Female
Enumeration Date 11/02/2007
Last Updated 11/02/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
4314 YOAKUM BLVD
HOUSTON TX, 77006-5818, US
Phone (713) 850-0049
Fax (713) 850-0036
Business Location
4314 YOAKUM BLVD
HOUSTON TX, 77006-5818, US
Phone (713) 850-0049
Fax (713) 850-0036
Toxanomy
Taxonomy Code 363A00000X
License State Texas
License Number PA02727
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According to our database, Gail Suzan Clark PA-C NPI is 1386823615, taxonomy code is 363A00000X and license number is PA02727, license state is located at Texas. Gail Suzan Clark PA-C physically located at 4314 Yoakum Blvd, Houston TX, 77006-5818. NPI Number Gail Suzan Clark PA-C has the Individual type.

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1386823615 NPI number is provided on an as is basis without warranty of any kind. 1386823615 is maintained by the National Plan & Provider Enumeration System. The contents of Gail Suzan Clark PA-C are for informational purposes only.