| Clark Integrated PLLC | |
|
2211 Fry Rd Ste O Katy TX 77449-6233 | |
| (210) 379-1819 | |
| Not Available |
| Full Name | Clark Integrated PLLC |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 2211 Fry Rd Ste O, Katy, Texas |
| Authorized Official Name and Position | Joshua Gomez (DIRECTOR) |
| Authorized Official Contact | 2103791819 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clark Integrated PLLC 13236 N. 7th St Suite 4 #289 Phoenix AZ 85022 Ph: (210) 379-1819 | Clark Integrated PLLC 2211 Fry Rd Ste O Katy TX 77449-6233 Ph: (210) 379-1819 |
| NPI Number | 1144826090 |
|---|---|
| Provider Enumeration Date | 12/07/2020 |
| Last Update Date | 12/07/2020 |
| Certification Date | 12/07/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144826090 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (NU) | Primary |
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