John Samuel Clarke M.D.

NPI 1003811928 - Surgery - 208600000X

NPI Details
NPI 1003811928
Gender Male
Enumeration Date 06/16/2005
Last Updated 08/12/2008
Entity Type Individual
Active Over 11 years ago
Practice Location
BULLARD TX, 75757-9740, US
Phone (903) 825-1981
Fax (903) 825-3375
Business Location
PO BOX 10090
TYLER TX, 75711-0090, US
Phone (903) 825-1981
Fax (903) 825-3375
Taxonomy Code 208600000X
License State Texas
License Number G9082
Remove 1003811928 NPI Number

According to our database, Dr. John Samuel Clarke M.D. NPI is 1003811928, taxonomy code is 208600000X and license number is G9082, license state is located at Texas. John Samuel Clarke M.D. physically located at 119 Lake Bluff Dr, Bullard TX, 75757-9740. NPI Number John Samuel Clarke M.D. has the Individual type.

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1003811928 NPI number is provided on an as is basis without warranty of any kind. 1003811928 is maintained by the National Plan & Provider Enumeration System. The contents of John Samuel Clarke M.D. are for informational purposes only.