Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. DENNIS JAY CLARK JR., PA C
ActiveMR. DENNIS JAY CLARK JR., PA C is a Physician Assistant healthcare provider located in GROVETON, Texas. NPI 1750364188 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · GROVETON, TX
Registration Details
- NPI Number
- 1750364188
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 21, 2005 (20.702508131526 yrs)
- Last Updated
- Jul 28, 2010
- License
-
PA 02393 (TX)
Practice Information
- Address
-
110 MAGEEGROVETON, TX, 758454185Browse TX providers · Browse ZIP 75845
- Phone
- 9366420841
- Fax
- 9366420849
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in GROVETON, TX
| Name | Credential | NPI |
|---|---|---|
| MR. IRA RICHARD GILLUM | PA C | 1528041951 |
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.