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Nicholas Clark, LAT, ATC

NPI 1306172721 · on the registry since 2009 · sole proprietor

Practice

Address
8401 Valley Ranch Pkwy E
Irving, TX 75063
Phone
(972) 968-5061
Fax
(972) 968-5145

Registry record

Primary taxonomy
2255A2300X
2255A2300X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2009-10-20

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