person
Brian D. Clark, PA-C
Medical Physician Assistant in San Antonio, Texas
NPI 1306889944

Brian D. Clark is a Medical Physician Assistant based in San Antonio, TX and is specialized in Medical. Brian D. Clark practices in San Antonio, TX and has the professional credentials of PA-C. The NPI Number for Brian D. Clark is 1306889944 and holds a License No. PA04747 (Texas).

The current practice location address for Brian D. Clark is 601 N Frio St, San Antonio, TX and can be reached out via phone at 210-261-3750 and via fax at 210-444-1474.

Location: 601 N Frio St, San Antonio, TX, 78201-5159
person
Provider Profile Details
NPI Number
1306889944
Provider Name
Brian D. Clark
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
601 N Frio St, San Antonio, TX, 78201-5159
Phone Number
210-261-3750
Fax Number
210-444-1474
Provider Enumeration Date
06/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PA04747 01 TX ST. LICENSE
institution
Provider Business Practice Location Address Details
Address
601 N Frio St
City
State
Zip
78207-3011
Phone Number
210-261-3750
Fax Number
210-444-1474
person
Provider Business Mailing Address Details
Address
601 N Frio St
City
State
Zip
78207-3011
Phone Number
210-261-3750
Fax Number
210-444-1474
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA04747 (Texas)
Definition
Definition to come...
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