Crandon F Clark in Amarillo - Diagnostic Radiology

Crandon F Clark - NPI 1669433124

Crandon F Clark is a Diagnostic Radiology in Amarillo, Texas. Crandon F Clark practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Crandon F Clark is 1669433124. The last update date is 2008-06-11.

Crandon F Clark's current location address is Po Box 3780, Amarillo, Texas. You can contact this provider via phone number 8063553352. The mailing address for Crandon F Clark is Po Box 3780, Amarillo, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Crandon F Clark
Address Po Box 3780, Amarillo, Texas
Phone Number 8063553352
Fax Number
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1669433124
Provider Enumeration Date 2006-03-31
Last Updated Date 2008-06-11

Provider Mailing Address Detail

Address Po Box 3780
City Amarillo
State Texas (TX)
Post Code 791163780
Phone Number 8063553352
Fax Number

Provider's Primary Taxonomy Detail

Speciality Diagnostic Radiology
Taxonomy 2085R0202X
Licence No L1002
Definition:
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
100850140A OK --
130630101 FIRSTCARE
141091204 TX --
10838058 NM --
8F7703 TX BLUE CROSS OF TEXAS
MDL1002 TX WORKERS COMPENSATION

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FAQs about Crandon F Clark

What is the unique identification code assigned to Crandon F Clark by the Centers for Medicare & Medicaid Services?

The Crandon F Clark has been issued the NPI (National Provider Identifier) 1669433124. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Crandon F Clark's facilities are geographically located?

The facilities of Crandon F Clark are physically situated at the following location: Po Box 3780, Amarillo, TX, 791163780.

What is Crandon F Clark's area of expertise and its corresponding taxonomy classification?

The Crandon F Clark's field of specialization is Diagnostic Radiology, and it falls under the taxonomy code 2085R0202X, which categorizes healthcare providers based on their areas of practice.

On what date did the Crandon F Clark receive its 1669433124 assignment from the Centers for Medicare & Medicaid Services?

The Crandon F Clark was assigned its 1669433124 by the Centers for Medicare & Medicaid Services on 2006-03-31.

As of what date were the details related to Crandon F Clark most recently updated or revised?

The information pertaining to Crandon F Clark, including its address, specialty, and other relevant details, was last updated or revised on 2008-06-11.

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