Dr RUSSELL J CLARK MD is a male medical professional, specializing in Orthopedic Surgery. He graduated in 2002 from Texas Tech University Health Science Center School Of Medicine.
ST MARKS MEDICAL CENTER
2 SAINT MARKS PL
SUITE 110
LA GRANGE
TX
789451255
Tel: 9792422387
| Npi | 1740232156 |
| Pac Id | 6204832967 |
| Professional Enrollment Id | I20061020000090 |
| Last Name | CLARK |
| First Name | RUSSELL |
| Middle Name | J |
| Suffix | |
| Gender | M |
| Credential | MD |
| Medical School Name | TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE |
| Graduation Year | 2002 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | ST MARKS MEDICAL CENTER |
| Group Practice Pac Id | 1759323231 |
| Number Of Group Practice Members | 3 |
| Line 1 Street Address | 2 SAINT MARKS PL |
| Line 2 Street Address | SUITE 110 |
| Marker Of Address Line 2 Suppression | |
| City | LA GRANGE |
| State | TX |
| Zip Code | 789451255 |
| Phone Number | 9792422387 |
| Hospital Affiliation Ccn 1 | 670004 |
| Hospital Affiliation Lbn 1 | ST MARKS MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | 450370 |
| Hospital Affiliation Lbn 2 | COLUMBUS COMMUNITY HOSPITAL |
| Hospital Affiliation Ccn 3 | 451376 |
| Hospital Affiliation Lbn 3 | LAVACA MEDICAL CENTER |
| Hospital Affiliation Ccn 4 | 450143 |
| Hospital Affiliation Lbn 4 | SETON SMITHVILLE REGIONAL HOSPITAL |
| Hospital Affiliation Ccn 5 | 451312 |
| Hospital Affiliation Lbn 5 | RICE MEDICAL CENTER |
| Professional Accepts Medicare Assignment | Y |
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