NPI | 1609993443 |
---|---|
Other Name | ARTHUR LEN CLARK |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 174400000X Specialist (Licence: TX L.P. 598) |
Additional Taxonomies | 1744P3200X Specialist, Prosthetics Case Management (Licence: TX 598) |
1744P3200X Specialist, Prosthetics Case Management (Licence: TX PROSTHETIST #598) | |
Enumeration Date | 2007-03-26 |
Last Update Date | 2007-07-08 |