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Summer Clark

MOHS-Micrographic Surgeon

1611 Wallace Blvd
Amarillo , Texas 79106-1799

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Summer Clark

MOHS-Micrographic Surgeon

1611 Wallace Blvd
Amarillo , Texas 79106-1799

(806) 354-4900

Write a Review Save Call

Summer Clark

MOHS-Micrographic Surgeon

1611 Wallace Blvd
Amarillo , Texas 79106-1799

(806) 354-4900 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • MOHS-Micrographic Surgeon

Languages spoken

  • English

Location

1611 Wallace Blvd Amarillo , Texas 79106-1799

First Address

  • Summer Clark
  • 1611 Wallace Blvd
  • Amarillo, TX
  • Zip : 79106-1799
  • Phone : (806) 354-4900

Second Address

  • Summer Clark
  • 1611 Wallace Blvd
  • Amarillo, TX
  • Zip : 79106-1799
  • Phone : (063) 544-9008

Reviews

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FAQs


Where did Summer Clark attend graduate school?

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Where did Summer Clark do her residency?

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Where did Summer Clark do her fellowship?

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Is Summer Clark board certified?

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What type of doctor is Summer Clark

MOHS-Micrographic Surgeon

In what state does Summer Clark practice in?

Texas

Where is Summer Clark ’s practice located?

1611 Wallace Blvd , Amarillo, Texas, 79106-1799

What is Summer Clark ’s gender?

Female

Is Summer Clark a sole practitioner?

No

Is Summer Clark accepting new patients?

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What languages does Summer Clark speak?

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Does Summer Clark accept insurance?

Yes, Summer Clark accepts insurance

Does Summer Clark offers telemedicine?

Summer Clark has not indicated if she offers telemedicine

What is Summer Clark ’s professional license number?

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What is Summer Clark ’s NPI number?

1154736643

Does Summer Clark have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 207ND0101X MOHS-Micrographic Surgeon S1580 TX

National Provider Identifier

NPI 1154736643
Provider Name Summer Clark
First Address Amarillo, TX 79106-1799
Second Address Amarillo, TX 79106-1799
Gender F
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 24/06/2014
Last Update Date 04/06/2019

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
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?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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