Dr. Gary David Clark
Pediatrician Child Neurologist
6701 Fannin St
Houston
, Texas 77030-2316
Dr. Gary David Clark
Pediatrician Child Neurologist
6701 Fannin St
Houston
, Texas 77030-2316
(832) 825-3504
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About
Features
Specialties
- Pediatrician
- Child Neurologist
Languages spoken
- English
Location
First Address
- Dr. Gary David Clark
- 6701 Fannin St
- Houston, TX
- Zip : 77030-2316
- Fax : (832) 825-3504
- Phone : (832) 822-5046
Second Address
- Dr. Gary David Clark
- 6701 Fannin St
- Houston, TX
- Zip : 77030-2316
- Fax : (832) 825-3504
- Phone : (832) 822-5046
Reviews
FAQs
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Is Dr. Gary David Clark a sole practitioner?
Is Dr. Gary David Clark accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208000000X | Pediatrician | J7451 | TX |
| Y | 2084N0402X | Child Neurologist | J7451 | TX |
National Provider Identifier
| NPI | 1013097450 |
|---|---|
| Provider Name | Dr. Gary David Clark |
| First Address | Houston, TX 77030-2316 |
| Second Address | Houston, TX 77030-2316 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/10/2006 |
| Last Update Date | 26/05/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 133132401 | (05) | TX |
| E32974 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.