Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RANDALL EDWARD CLARK JR.
Active Sole ProprietorRANDALL EDWARD CLARK JR. is a Durable Medical Equipment & Medical Supplies healthcare provider located in SOUTHLAKE, Texas. NPI 1013336437 is currently active in the NPPES registry. Verify at CMS.
Durable Medical Equipment & Medical Supplies · SOUTHLAKE, TX
Registration Details
- NPI Number
- 1013336437
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 14, 2014 (12.381691679271 yrs)
- Last Updated
- Apr 14, 2014
- Sole Proprietor
- Yes
Practice Information
- Address
-
918 E SOUTHLAKE BLVDSOUTHLAKE, TX, 760926344Browse TX providers · Browse ZIP 76092
- Phone
- 2145045651
- Primary Specialty
-
Durable Medical Equipment & Medical Supplies
332B00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.