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Randall Edward Clark JR.
Durable Medical Equipment & Medical Supplies in Southlake, Texas
NPI 1013336437

Randall Edward Clark JR. is a Durable Medical Equipment & Medical Supplies based in Southlake, TX. Randall Edward Clark JR. practices in Southlake, TX. The NPI Number for Randall Edward Clark JR. is 1013336437 and holds a License No. (Texas).

The current practice location address for Randall Edward Clark JR. is 918 E Southlake Blvd, Southlake, TX and can be reached out via phone at 214-504-5651.

Location: 918 E Southlake Blvd, Southlake, TX, 76092-6344
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013336437
Provider Name
Randall Edward Clark JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
918 E Southlake Blvd, Southlake, TX, 76092-6344
Phone Number
214-504-5651
Fax Number
Provider Enumeration Date
04/14/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
918 E Southlake Blvd
City
Southlake
State
Texas
Zip
76092-6344
Phone Number
214-504-5651
Fax Number
person
Provider Business Mailing Address Details
Address
918 E Southlake Blvd
City
Southlake
State
Texas
Zip
76092-6344
Phone Number
214-504-5651
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
()
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
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