MICHAEL G CLARK

BEDFORD, TX
NPI1326006834
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: TX  PA00339)
Enumeration Date2006-05-03
Last Update Date2012-03-15
Business Address
MICHAEL G CLARK PA
1305 AIRPORT FWY STE 305
BEDFORD, TX 76021-6604
Phone number: 817-545-1355
Mailing Address
MICHAEL G CLARK PA
1305 AIRPORT FWY STE 305
BEDFORD, TX 76021-6604
Phone number: 817-545-1355
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