| William Clark Medical Group Pa | |
|
133 Northpoint Dr Houston TX 77060-3207 | |
| (281) 272-0888 | |
| (713) 695-7765 |
| Full Name | William Clark Medical Group Pa |
|---|---|
| Speciality | General Practice |
| Location | 133 Northpoint Dr, Houston, Texas |
| Authorized Official Name and Position | William D Clark (PRESIDENT) |
| Authorized Official Contact | 2812720888 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| William Clark Medical Group Pa Po Box 670188 Houston TX 77267-0188 Ph: (281) 272-0888 | William Clark Medical Group Pa 133 Northpoint Dr Houston TX 77060-3207 Ph: (281) 272-0888 |
| NPI Number | 1790828648 |
|---|---|
| Provider Enumeration Date | 02/14/2007 |
| Last Update Date | 07/01/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790828648 | NPI | - | NPPES |
| 1760445704 | Medicaid | TX | |
| 130727402 | Medicaid | TX | |
| 130727403 | Medicaid | TX | |
| 1790828648 | Medicaid | TX | |
| 083833601 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | E4818 (Texas) | Primary |
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