Paul Clark is a Pediatric Radiology in San Antonio, Texas. Paul Clark practices all healthcare services and medical treatments related to Pediatric Radiology. The NPI Number for Paul Clark is 1225052467. The last update date is 2020-10-26.
Paul Clark's current location address is 3551 Roger Brooke Dr, San Antonio, Texas. You can contact this provider via phone number 5714090055. The mailing address for Paul Clark is 3551 Roger Brooke Dr, San Antonio, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Paul Clark |
|---|---|
| Address | 3551 Roger Brooke Dr, San Antonio, Texas |
| Phone Number | 5714090055 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1225052467 |
|---|---|
| Provider Enumeration Date | 2006-07-27 |
| Last Updated Date | 2020-10-26 |
Provider Mailing Address Detail
| Address | 3551 Roger Brooke Dr |
|---|---|
| City | San Antonio |
| State | Texas (TX) |
| Post Code | 782344504 |
| Phone Number | 5714090055 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Radiology |
|---|---|
| Taxonomy | 2085P0229X |
| Licence No | 102202652 |
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Definition: A radiologist who is proficient in all forms of diagnostic imaging as it pertains to the treatment of diseases in the newborn, infant, child and adolescent. This specialist has knowledge of both imaging and interventional procedures related to the ca |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1225052467 | VA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Paul Clark by the Centers for Medicare & Medicaid Services?
The Paul Clark has been issued the NPI (National Provider Identifier) 1225052467, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Paul Clark located?
The Paul Clark is located at 3551 Roger Brooke Dr, San Antonio, TX 782344504.
What is the area of specialization for Paul Clark, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Paul Clark is Pediatric Radiology, and the corresponding taxonomy code that categorizes this area of expertise is 2085P0229X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1225052467 to Paul Clark?
The Centers for Medicare & Medicaid Services originally issued the 1225052467 to Paul Clark on 2006-07-27.
When was the Paul Clark's information last updated?
The Paul Clark's information was last updated on 2020-10-26.