Jerrold A Clark in Addison - Anatomic Pathology & Clinical Pathology
Jerrold A Clark - NPI 1700866324
Jerrold A Clark is a Anatomic Pathology & Clinical Pathology in Addison, Texas. Jerrold A Clark practices all healthcare services and medical treatments related to Anatomic Pathology & Clinical Pathology. The NPI Number for Jerrold A Clark is 1700866324. The last update date is 2015-05-29.
Jerrold A Clark's current location address is 14275 Midway Rd, Addison, Texas. You can contact this provider via phone number 7709511793 and fax number 6102714245. The mailing address for Jerrold A Clark is 14275 Midway Rd, Addison, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerrold A Clark |
|---|---|
| Address | 14275 Midway Rd, Addison, Texas |
| Phone Number | 7709511793 |
| Fax Number | 6102714245 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1700866324 |
|---|---|
| Provider Enumeration Date | 2006-01-19 |
| Last Updated Date | 2015-05-29 |
Provider Mailing Address Detail
| Address | 14275 Midway Rd |
|---|---|
| City | Addison |
| State | Texas (TX) |
| Post Code | 750013614 |
| Phone Number | 7709511793 |
| Fax Number | 6102714245 |
Provider's Primary Taxonomy Detail
| Speciality | Anatomic Pathology & Clinical Pathology |
|---|---|
| Taxonomy | 207Zp0102X |
| Licence No | 26841 |
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Definition: A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gat |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 52235375 009 | GA | BCBS MARIETTA | |
| 345972 | GA | WELLCARE | |
| 202I220225 | GA | -- | |
| 52235375 006 | GA | BCBS MONROE | |
| 581267100 | GA | TRICARE | |
| 000302112A | GA | -- | |
| 52235375 008 | GA | BCBS BLECKLEY | |
| 52235375 005 | GA | BCBS COLISEUM | |
| 52235375 007 | GA | BCBS MACON NORTHSIDE |
Post Comment/ Review Below
What is the Jerrold A Clark's 1700866324?
The Jerrold A Clark's NPI (National Provider Identifier) Number is 1700866324. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Jerrold A Clark is located?
The Jerrold A Clark is situated at the following address: 14275 Midway Rd, Addison, TX, 750013614.
What is Jerrold A Clark's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jerrold A Clark is Anatomic Pathology & Clinical Pathology, and the taxonomy code that classifies this field of practice is 207Zp0102X.
On what date did the Centers for Medicare & Medicaid Services assign the 1700866324 to Jerrold A Clark?
The Centers for Medicare & Medicaid Services assigned the 1700866324 to Jerrold A Clark on 2006-01-19.
As of what date was the information regarding Jerrold A Clark, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jerrold A Clark, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2015-05-29.
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