Search › Texas › 152W00000X

Gerardo Clark, OPTICIAN

NPI 1891056032 · on the registry since 2012 · sole proprietor

Practice

Address
4124 Ayers St
Corpus Christi, TX 78415
Phone
(361) 854-0115
Fax
(361) 854-0116

Registry record

Primary taxonomy
152W00000X
152W00000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2012-06-05

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