JOSEPH L CLARK IV

Dr JOSEPH L CLARK IV is a male medical professional, specializing in Nurse Practitioner. He graduated in 2009.

Contact

618 OAK ST
GRAHAM
TX
764503040

Tel:

JOSEPH L CLARK IV Information

Npi 1467776484
Pac Id 3173776580
Professional Enrollment Id I20130116000138
Last Name CLARK
First Name JOSEPH
Middle Name L
Suffix IV
Gender M
Credential
Medical School Name OTHER
Graduation Year 2009
Primary Specialty NURSE PRACTITIONER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 618 OAK ST
Line 2 Street Address
Marker Of Address Line 2 Suppression
City GRAHAM
State TX
Zip Code 764503040
Phone Number
Hospital Affiliation Ccn 1 450085
Hospital Affiliation Lbn 1 GRAHAM REGIONAL MEDICAL CENTER
Hospital Affiliation Ccn 2 450241
Hospital Affiliation Lbn 2 FAITH COMMUNITY HOSPITAL
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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