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Contact Information

GARY CLARK, MD
6701 FANNIN ST
HOUSTON, TX77030-2316
 Phone: 832-822-5046
 Fax: 832-825-3504
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Neurology with Special Qualifications in Child Neurology

2084N0402X 13 Physician/Neurology
Indicates primary specialty

NPI Profile & details for GARY CLARK · (Male)

NPI # 1013097450
Status Active
Credentials MD
Entity Individual
Enumeration date 10/17/2006
Last updated 07/07/2008 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • TX License # J7451
  • TX Medicaid 133132401
Hospital affiliation(s) Not Available
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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