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Contact Information

RUSSELL J CLARK, MD
5419 N LOVINGTON HWY STE 31
HOBBS, NM88240-9136
 Phone: 575-392-5191
 Fax: 575-492-1881
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for RUSSELL J CLARK · (Male)

NPI Number 1740232156
Status Active
Credentials MD
Entity Individual
Enumeration date 05/16/2006
Last updated 04/29/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • NM License # MD2023-1644
  • TX License # L8016
  • TX Medicaid 191836903
  • TX Other 8EH759 BCBS OF TX
Hospital affiliation(s)
  • COOSA VALLEY MEDICAL CENTER - (Acute Care)
    315 W HICKORY ST
    SYLACAUGA, AL 35150
  • MEDICAL CENTER HOSPITAL - (Acute Care)
    500 W 4TH STREET
    ODESSA, TX 79761
  • ST MARKS MEDICAL CENTER - (Acute Care)
    ONE ST MARK'S PLACE
    LA GRANGE, TX 78945
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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