William D Clark
Pediatric Otolaryngology
333 N Santa Rosa Street Goldsbury Center Lower Level
San Antonio
, Texas 78207-3108
William D Clark
Pediatric Otolaryngology
333 N Santa Rosa Street Goldsbury Center Lower Level
San Antonio
, Texas 78207-3108
(210) 704-4723
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About
Features
Specialties
- Pediatric Otolaryngology
Languages spoken
- English
Location
First Address
- William D Clark
- 333 N Santa Rosa Street Goldsbury Center Lower Level
- San Antonio, TX
- Zip : 78207-3108
- Fax : (210) 704-4723
- Phone : (210) 704-2335
Second Address
- William D Clark
- 333 N Santa Rosa Street Goldsbury Center Lower Level
- San Antonio, TX
- Zip : 78207-3108
- Fax : (210) 704-2335
- Phone : (210) 704-2335
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207YP0228X | Pediatric Otolaryngology | D6986 | TX |
National Provider Identifier
| NPI | 1306807268 |
|---|---|
| Provider Name | William D Clark |
| First Address | San Antonio, TX 78207-3108 |
| Second Address | San Antonio, TX 78207-3108 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/03/2006 |
| Last Update Date | 05/10/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 115705908 | (05) | TX |
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.