Search › Pennsylvania › 164W00000X
Tymir Clark
NPI 1588126239 · on the registry since 2019 · sole proprietor
Practice
- Address
- 2219 Edgley St
Philadelphia, PA 19121 - Phone
- (267) 258-9167
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-04-02
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 Pennsylvania