Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JUSTIN WAYNE CLARK, MD
ActiveDermatology · LUBBOCK, TX
Registration Details
- NPI Number
- 1639164098
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 13, 2005 (20.632103406799 yrs)
- Last Updated
- Oct 25, 2007
- License
-
K4662 (TX)
Practice Information
- Address
-
3601 22ND STLUBBOCK DERMATOLOGYLUBBOCK, TX, 794101309Browse TX providers · Browse ZIP 79410
- Phone
- 8067967193
- Fax
- 8067960034
- Primary Specialty
-
Dermatology
207N00000X
Other Dermatology Providers in LUBBOCK, TX
| Name | Credential | NPI |
|---|---|---|
| DR. RICHARD H HOPE | MD | 1457346819 |
| DR. BRENT R. PAULGER | M.D. | 1093701468 |
| DR. AMY ROCKY BRACKEEN | MD | 1427036417 |
| DR. BRYAN HARRIS | M.D. | 1174553556 |
| DR. MICHAEL DAVID LONG | M.D. | 1386676542 |
| DR. KEITH WAYNE WISNIEWSKI | M.D. | 1588792741 |
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.