Jeffrey Wayne Clark in Dallas - Neurology
Jeffrey Wayne Clark - NPI 1922068907
Jeffrey Wayne Clark is a Neurology in Dallas, Texas. Jeffrey Wayne Clark practices all healthcare services and medical treatments related to Neurology. The NPI Number for Jeffrey Wayne Clark is 1922068907. The last update date is 2020-04-10.
Jeffrey Wayne Clark's current location address is Po Box 844658, Dallas, Texas. You can contact this provider via phone number 2547242111. The mailing address for Jeffrey Wayne Clark is Po Box 844658, Dallas, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeffrey Wayne Clark |
|---|---|
| Address | Po Box 844658, Dallas, Texas |
| Phone Number | 2547242111 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1922068907 |
|---|---|
| Provider Enumeration Date | 2006-03-24 |
| Last Updated Date | 2020-04-10 |
Provider Mailing Address Detail
| Address | Po Box 844658 |
|---|---|
| City | Dallas |
| State | Texas (TX) |
| Post Code | 752844658 |
| Phone Number | 2547242111 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Neurology |
|---|---|
| Taxonomy | 2084N0400X |
| Licence No | H7967 |
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Definition: A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 86J290 | TX | BLUE SHIELD |
Post Comment/ Review Below
What is the unique provider identifier assigned to Jeffrey Wayne Clark?
The Jeffrey Wayne Clark has been issued the NPI (National Provider Identifier) 1922068907 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Jeffrey Wayne Clark's facilities are situated?
The facilities of Jeffrey Wayne Clark are physically located at the following address: Po Box 844658, Dallas, TX, 752844658.
What is Jeffrey Wayne Clark's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jeffrey Wayne Clark's area of specialization is Neurology, and the corresponding taxonomy code that categorizes this field of practice is 2084N0400X.
On what date did the Jeffrey Wayne Clark receive its 1922068907 assignment from the Centers for Medicare & Medicaid Services?
The Jeffrey Wayne Clark was assigned its 1922068907 by the Centers for Medicare & Medicaid Services on 2006-03-24.
As of what date was the information regarding Jeffrey Wayne Clark, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jeffrey Wayne Clark, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-04-10.