Justin Wayne Clark in Lubbock - Dermatology
Justin Wayne Clark - NPI 1639164098
Justin Wayne Clark is a Dermatology in Lubbock, Texas. Justin Wayne Clark practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Justin Wayne Clark is 1639164098. The last update date is 2007-10-25.
Justin Wayne Clark's current location address is 3601 22nd St, Lubbock, Texas. You can contact this provider via phone number 8067967193 and fax number 8067960034. The mailing address for Justin Wayne Clark is 3601 22nd St, Lubbock, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Justin Wayne Clark |
|---|---|
| Address | 3601 22nd St, Lubbock, Texas |
| Phone Number | 8067967193 |
| Fax Number | 8067960034 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1639164098 |
|---|---|
| Provider Enumeration Date | 2005-09-13 |
| Last Updated Date | 2007-10-25 |
Provider Mailing Address Detail
| Address | 3601 22nd St |
|---|---|
| City | Lubbock |
| State | Texas (TX) |
| Post Code | 794101309 |
| Phone Number | 8067967193 |
| Fax Number | 8067960034 |
Provider's Primary Taxonomy Detail
| Speciality | Dermatology |
|---|---|
| Taxonomy | 207N00000X |
| Licence No | K4662 |
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Definition: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 120680701 | TX | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Justin Wayne Clark by the Centers for Medicare & Medicaid Services?
The Justin Wayne Clark has been issued the NPI (National Provider Identifier) 1639164098. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Justin Wayne Clark?
The Justin Wayne Clark is physically situated at 3601 22Nd St, in the city of Lubbock, state of TX, with the postal code 794101309.
What is Justin Wayne Clark's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Justin Wayne Clark is Dermatology, and the taxonomy code that categorizes this field of expertise is 207N00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1639164098 to Justin Wayne Clark?
The Centers for Medicare & Medicaid Services originally issued the 1639164098 to Justin Wayne Clark on 2005-09-13.
When was the information regarding Justin Wayne Clark most recently updated?
The details pertaining to the Justin Wayne Clark, including its address, specialty, and other relevant information, were last refreshed on 2007-10-25.