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Contact Information

STEPHANIE CLARK, MD
2401 S 31ST ST
MS-11-AG062
TEMPLE, TX76508-0001
 Phone: 214-632-1919
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for STEPHANIE CLARK · (Female)

NPI Number 1578907549
Status Active
Credentials MD
Entity Individual
Enumeration date 04/22/2013
Last updated 04/22/2013 - About 13 years ago
Sole proprietor 1 Yes
Identifiers
  • TX License # BP10047329
Hospital affiliation(s)
  • MEDICAL CENTER OF PLANO - (Acute Care)
    3901 W 15TH ST
    PLANO, TX 75075
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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