Mariah Clark, LAT, ATC

NPI 1154990133 · on the registry since 2021

Practice

Address: 2000 Medical Dr
Lakeway, TX 78734
Phone: (717) 975-4790
Organisation at this address: Bir Jv Llp
Supriya Ailnani Pllc
Johnny Shane Ross Inc
Faheem Ahmed Md Pa Pc
Healthtexas Provider Network
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 48

Registry record

Primary taxonomy: 2255A2300X
2255A2300X
Licence states on file: TX
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2021-06-23

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