Nicholas Clark
Pediatrics | Male
Nicholas Clark is a Jbsa Ft Sam Houston, Texas based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Nicholas Clark is
3551 Roger Brooke Dr, Jbsa Ft Sam Houston, Texas - 78234-4504. He can be contacted on phone at
210-220-7638.
Nicholas Clark is a sole proprietor of his business.
NPI number (Unique professional ID) for Nicholas Clark is
1740816842 which was assigned by NPPES on 20 Mar, 2020 and it was last updated on 19 Apr, 2022.
Nicholas Clark license number is
0102207074 for Pediatrics (208000000X) in Virginia.
Nicholas Clark is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Nicholas Clark basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Nicholas Clark |
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| Gender : | Male |
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Business Address:
Nicholas Clark address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 3551 Roger Brooke Dr
Jbsa Ft Sam Houston, TX, 78234-4504
United States |
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| Phone Number : | 210-220-7638 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1740816842 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 20 Mar, 2020 |
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| Last Updated On : | 19 Apr, 2022 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Nicholas Clark are as mentioned. Primary taxonomy code for Nicholas Clark is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 0102207074 | VA |
| 390200000X | Student in an Organized Health Care Education/Training Program | No | | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 3551 Roger Brooke Dr
Jbsa Ft Sam Houston, TX, 78234-4504
United States |
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| Phone Number : | 210-220-7638 |
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Business Location:
Patients can refer following map for directions to
Nicholas Clark practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.