James T. Clark is a Specialist in Tyler, Texas. James T. Clark practices all healthcare services and medical treatments related to Specialist. The NPI Number for James T. Clark is 1073665964. The last update date is 2007-07-08.
James T. Clark's current location address is 1100 E Lake St, Tyler, Texas. You can contact this provider via phone number 9035955522 and fax number 9035953834. The mailing address for James T. Clark is 1100 E Lake St, Tyler, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | James T. Clark |
|---|---|
| Address | 1100 E Lake St, Tyler, Texas |
| Phone Number | 9035955522 |
| Fax Number | 9035953834 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1073665964 |
|---|---|
| Provider Enumeration Date | 2007-01-18 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1100 E Lake St |
|---|---|
| City | Tyler |
| State | Texas (TX) |
| Post Code | 757013343 |
| Phone Number | 9035955522 |
| Fax Number | 9035953834 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | D3181 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 751477994 | TX | TAX ID # | |
| 11235461 | TX | -- | |
| 41539337 | TX | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the James T. Clark's unique identification number?
The James T. Clark has been assigned the NPI (National Provider Identifier) Number 1073665964 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of James T. Clark?
The James T. Clark is situated at 1100 E Lake St, in the city of Tyler, state of TX, with the zip code 757013343.
What is James T. Clark's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for James T. Clark is Specialist, and the taxonomy code that categorizes this field of expertise is 174400000X.
When did the James T. Clark receive its 1073665964?
The James T. Clark was issued its 1073665964 on 2007-01-18, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to James T. Clark last refreshed?
The information related to the James T. Clark, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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