Jerry Doyle Clark in Beaumont - Orthopaedic Surgery
Jerry Doyle Clark - NPI 1083698898
Jerry Doyle Clark is a Orthopaedic Surgery in Beaumont, Texas. Jerry Doyle Clark practices all healthcare services and medical treatments related to Orthopaedic Surgery. The NPI Number for Jerry Doyle Clark is 1083698898. The last update date is 2007-12-11.
Jerry Doyle Clark's current location address is 3650 Laurel St, Beaumont, Texas. You can contact this provider via phone number 4098380346. The mailing address for Jerry Doyle Clark is 3650 Laurel St, Beaumont, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerry Doyle Clark |
|---|---|
| Address | 3650 Laurel St, Beaumont, Texas |
| Phone Number | 4098380346 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1083698898 |
|---|---|
| Provider Enumeration Date | 2005-12-05 |
| Last Updated Date | 2007-12-11 |
Provider Mailing Address Detail
| Address | 3650 Laurel St |
|---|---|
| City | Beaumont |
| State | Texas (TX) |
| Post Code | 777072216 |
| Phone Number | 4098380346 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Orthopaedic Surgery |
|---|---|
| Taxonomy | 207X00000X |
| Licence No | G2345 |
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Definition: An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the car |
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Post Comment/ Review Below
What is the unique identifier code issued to Jerry Doyle Clark by the Centers for Medicare & Medicaid Services (CMS)?
The Jerry Doyle Clark has been assigned the NPI (National Provider Identifier) 1083698898. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Jerry Doyle Clark's facilities are situated?
The facilities of Jerry Doyle Clark are physically located at the following address: 3650 Laurel St, Beaumont, TX, 777072216.
What is Jerry Doyle Clark's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jerry Doyle Clark is Orthopaedic Surgery, and the corresponding taxonomy classification code for this specialized field is 207X00000X.
On what date did Jerry Doyle Clark receive its 1083698898 assignment from the Centers for Medicare & Medicaid Services?
The Jerry Doyle Clark was assigned its 1083698898 on 2005-12-05, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Jerry Doyle Clark most recently updated?
The details pertaining to the Jerry Doyle Clark, including its address, specialty, and other relevant information, were last refreshed on 2007-12-11.
NPI Number: 1215930425
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