Russell Patrick Clark in Dallas - Emergency Medicine
Russell Patrick Clark - NPI 1790787497
Russell Patrick Clark is a Emergency Medicine in Dallas, Texas. Russell Patrick Clark practices all healthcare services and medical treatments related to Emergency Medicine. The NPI Number for Russell Patrick Clark is 1790787497. The last update date is 2010-07-26.
Russell Patrick Clark's current location address is 9229 Lbj Fwy, Dallas, Texas. You can contact this provider via phone number 9729153600 and fax number 9729153636. The mailing address for Russell Patrick Clark is 9229 Lbj Fwy, Dallas, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Russell Patrick Clark |
|---|---|
| Address | 9229 Lbj Fwy, Dallas, Texas |
| Phone Number | 9729153600 |
| Fax Number | 9729153636 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1790787497 |
|---|---|
| Provider Enumeration Date | 2005-08-11 |
| Last Updated Date | 2010-07-26 |
Provider Mailing Address Detail
| Address | 9229 Lbj Fwy |
|---|---|
| City | Dallas |
| State | Texas (TX) |
| Post Code | 752433405 |
| Phone Number | 9729153600 |
| Fax Number | 9729153636 |
Provider's Primary Taxonomy Detail
| Speciality | Emergency Medicine |
|---|---|
| Taxonomy | 207P00000X |
| Licence No | 10404 |
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Definition: An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100504837 | NV | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Russell Patrick Clark by the Centers for Medicare & Medicaid Services?
The Russell Patrick Clark has been assigned the NPI (National Provider Identifier) 1790787497. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Russell Patrick Clark's physical address?
The Russell Patrick Clark is physically located at 9229 Lbj Fwy, in the city of Dallas, TX, with the postal code 752433405.
What is the Russell Patrick Clark's area of specialization and corresponding taxonomy classification?
The Russell Patrick Clark's specialty field is Emergency Medicine, and it falls under the taxonomy code 207P00000X, which categorizes healthcare providers based on their specialties.
When did Russell Patrick Clark receive its 1790787497 assignment?
The Russell Patrick Clark was assigned its 1790787497 on 2005-08-11, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Russell Patrick Clark last refreshed?
The information related to the Russell Patrick Clark, including its address, specialty, and other relevant details, was last updated on 2010-07-26.