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Contact Information

LANE CLARK, PT, DPT
820 S ALMA DR STE 110
ALLEN, TX75013-3810
 Phone: 214-383-0623
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Medicine & Rehabilitation

208100000X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for LANE CLARK · (Male)

NPI Number 1447907274
Status Active
Credentials PT, DPT
Entity Individual
Enumeration date 03/02/2022
Last updated 03/02/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • TX License # 1357609
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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