Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2082S0105X | Plastic Hand Surgeon | N3567 | TX |
Y | 2086S0122X | Plastic and Reconstructive Surgery | N3567 | TX |
NPI | 1821292517 |
---|---|
Provider Name | Dr. Steven Anthony Clark |
First Address | Mckinney, TX 75069-1650 |
Second Address | Mckinney, TX 75069-1650 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/06/2007 |
Last Update Date | 21/03/2017 |