SearchTexas224P00000X

Clark Driver

NPI 1508263732 · on the registry since 2014

Practice

Address
1401 W Magnolia Ave
Ft Worth, TX 76104
Phone
(817) 923-2101
Fax
(817) 926-1471

Registry record

Primary taxonomy
224P00000X
224P00000X
Also registered as
222Z00000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-12-03

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