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Crandon F Clark, MD
Diagnostic Radiology Physician in Amarillo, Texas
NPI 1669433124

Crandon F Clark is a Diagnostic Radiology Physician based in Amarillo, TX and is specialized in Diagnostic Radiology. Crandon F Clark practices in Amarillo, TX and has the professional credentials of MD. The NPI Number for Crandon F Clark is 1669433124 and holds a License No. L1002 (Texas).

The current practice location address for Crandon F Clark is 1901 Medi Park, Amarillo, TX and can be reached out via phone at 806-355-3352.

Location: 1901 Medi Park, Amarillo, TX, 79116-3780
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669433124
Provider Name
Crandon F Clark
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1901 Medi Park, Amarillo, TX, 79116-3780
Phone Number
806-355-3352
Fax Number
Provider Enumeration Date
03/31/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100850140A 05 OK
130630101 01 FIRSTCARE
141091204 05 TX
10838058 05 NM
8F7703 01 TX BLUE CROSS OF TEXAS
MDL1002 01 TX WORKERS COMPENSATION
institution
Provider Business Practice Location Address Details
Address
1901 Medi Park
City
Amarillo
State
Texas
Zip
79106-2110
Phone Number
806-355-3352
Fax Number
person
Provider Business Mailing Address Details
Address
1901 Medi Park
City
Amarillo
State
Texas
Zip
79106-2110
Phone Number
806-355-3352
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
L1002 (Texas)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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