| Mr Charles Warren Clark Jr, LMT | |
|
19577 Fm 2854 Rd, Montgomery, TX 77316-3150 | |
| (936) 537-0948 | |
| Not Available |
| Full Name | Mr Charles Warren Clark Jr |
|---|---|
| Gender | Male |
| Speciality | Massage Therapist |
| Location | 19577 Fm 2854 Rd, Montgomery, Texas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811290935 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | MT038025 (Texas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Charles Warren Clark Jr, LMT 19577 Fm 2854 Rd, Montgomery, TX 77316-3150 Ph: (936) 537-0948 | Mr Charles Warren Clark Jr, LMT 19577 Fm 2854 Rd, Montgomery, TX 77316-3150 Ph: (936) 537-0948 |
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