William Lee Clark in Round Rock - Physician Assistant
William Lee Clark - NPI 1912917220
William Lee Clark is a Physician Assistant in Round Rock, Texas. William Lee Clark practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for William Lee Clark is 1912917220. The last update date is 2007-07-08.
William Lee Clark's current location address is 3835 Pine Needle Ln, Round Rock, Texas. You can contact this provider via phone number 5123107359. The mailing address for William Lee Clark is 3835 Pine Needle Ln, Round Rock, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | William Lee Clark |
|---|---|
| Address | 3835 Pine Needle Ln, Round Rock, Texas |
| Phone Number | 5123107359 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | P.A. |
NPI Number Detail
| NPI Number | 1912917220 |
|---|---|
| Provider Enumeration Date | 2006-08-09 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3835 Pine Needle Ln |
|---|---|
| City | Round Rock |
| State | Texas (TX) |
| Post Code | 786812328 |
| Phone Number | 5123107359 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA04858 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the unique 10-digit identification code assigned to William Lee Clark by the Centers for Medicare & Medicaid Services?
The William Lee Clark has been issued the NPI (National Provider Identifier) 1912917220, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the William Lee Clark's physical address?
The William Lee Clark is physically located at 3835 Pine Needle Ln, in the city of Round Rock, TX, with the postal code 786812328.
What is the William Lee Clark's area of specialization and corresponding taxonomy classification?
The William Lee Clark's specialty field is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their specialties.
As of what date were the William Lee Clark's details last updated?
The information pertaining to the William Lee Clark, including its address, specialty, and other details, was most recently updated on 2007-07-08.
As of what date were the details related to William Lee Clark most recently updated or revised?
The information pertaining to William Lee Clark, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
NPI Number: 1417950320
Address: 1395 Center Drive, D7-6a, Box 100416, Gainesville, FL