Charles B. Clark in Beaumont - Neurological Surgery
Charles B. Clark - NPI 1770689358
Charles B. Clark is a Neurological Surgery in Beaumont, Texas. Charles B. Clark practices all healthcare services and medical treatments related to Neurological Surgery. The NPI Number for Charles B. Clark is 1770689358. The last update date is 2015-03-05.
Charles B. Clark's current location address is 6025 Metropolitan Dr, Beaumont, Texas. You can contact this provider via phone number 4098994999 and fax number 4098993978. The mailing address for Charles B. Clark is 6025 Metropolitan Dr, Beaumont, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charles B. Clark |
|---|---|
| Address | 6025 Metropolitan Dr, Beaumont, Texas |
| Phone Number | 4098994999 |
| Fax Number | 4098993978 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1770689358 |
|---|---|
| Provider Enumeration Date | 2006-09-15 |
| Last Updated Date | 2015-03-05 |
Provider Mailing Address Detail
| Address | 6025 Metropolitan Dr |
|---|---|
| City | Beaumont |
| State | Texas (TX) |
| Post Code | 777062408 |
| Phone Number | 4098994999 |
| Fax Number | 4098993978 |
Provider's Primary Taxonomy Detail
| Speciality | Neurological Surgery |
|---|---|
| Taxonomy | 207T00000X |
| Licence No | D9396 |
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Definition: A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0981946-01 | TX | -- | |
| 359865 | TX | MEDICARE PTAN |
Post Comment/ Review Below
What is the Charles B. Clark's 1770689358?
The Charles B. Clark's NPI (National Provider Identifier) Number is 1770689358. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Charles B. Clark?
The Charles B. Clark is situated at 6025 Metropolitan Dr, in the city of Beaumont, state of TX, with the zip code 777062408.
What is Charles B. Clark's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Charles B. Clark is Neurological Surgery, and the taxonomy classification code that categorizes this area of expertise is 207T00000X.
When did Charles B. Clark receive its 1770689358 assignment?
The Charles B. Clark was assigned its 1770689358 on 2006-09-15, which is the date when this unique identifier was issued to the organization.
When was the information regarding Charles B. Clark most recently updated?
The details pertaining to the Charles B. Clark, including its address, specialty, and other relevant information, were last refreshed on 2015-03-05.
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