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Clark Wilson, MD
NPI 1083963334 · on the registry since 2012
Practice
- Address
- 700 Olympic Plaza Cir Ste 700
Tyler, TX 75701 - Phone
- (032) 623-9009
- Fax
- (903) 262-3993
- Organisation at this address
- Urology Tyler, Pa
Stasha Gominak, Md, Pa
Neuro Ir Of East Texas
Yvonne Baum M.D., P.A.
Tyler Kidney Doctors PaInferred from a shared address, not stated in the registry. - Clinicians at this address
- 91
Registry record
- Primary taxonomy
- Urology Physician
208800000X
- Also registered as
- Urology Physician
- Licence states on file
- TX, OH
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-08-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas