Toni Clark
Nurse Practitioner
2500 E Main St
Alice
, Texas 78332-4169
Toni Clark
Nurse Practitioner
2500 E Main St
Alice
, Texas 78332-4169
(231) 922-4030
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About
Features
Specialties
- Nurse Practitioner
Languages spoken
- English
Location
First Address
- Toni Clark
- Po Box 849881
- Dallas, TX
- Zip : 75284-0001
- Fax : (231) 922-4030
- Phone : (866) 916-5259
Second Address
- Toni Clark
- 2500 E Main St
- Alice, TX
- Zip : 78332-4169
- Phone : (713) 456-5000
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 576086 | TX |
National Provider Identifier
| NPI | 1003833559 |
|---|---|
| Provider Name | Toni Clark |
| First Address | Dallas, TX 75284-0001 |
| Second Address | Alice, TX 78332-4169 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/07/2006 |
| Last Update Date | 19/02/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| P083N0230 | (05) | TX |
| S75616 | (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.