Search › Texas › 1041C0700X
Jack Clark, LCSW
NPI 1841311487 · on the registry since 2007
Practice
- Address
- 7711 Madonna
San Antonio, TX 78216 - Phone
- (210) 377-1133
- Fax
- (210) 377-1230
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-05-24
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