LEVON CLARK

SAN ANTONIO, TX
NPI1508951435
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: TX  PA02702)
Enumeration Date2006-10-04
Last Update Date2007-07-08
Business Address
Mr. LEVON CLARK PA
5788 ECKHERT RD
SAN ANTONIO, TX 78240-3900
Phone number: 210-699-2280
Mailing Address
Mr. LEVON CLARK PA
5788 ECKHERT RD
SAN ANTONIO, TX 78240-3900
Phone number: 210-699-2280
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