KENNETH DALE CLARK

THE WOODLANDS, TX
NPI1598046401
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy222Z00000X Orthotist
(Licence: TX  400)
Enumeration Date2011-09-06
Last Update Date2011-09-27
Business Address
Mr. KENNETH DALE CLARK
9303 PINECROFT DR
THE WOODLANDS, TX 77380-3181
Phone number: 281-297-6445
Mailing Address
Mr. KENNETH DALE CLARK
9303 PINECROFT DR
THE WOODLANDS, TX 77380-3181
Phone number: 281-297-6445