Individual provider · Type 1 NPI
Randall Edward Clark Jr.
Durable Medical Equipment & Medical Supplies · Southlake, TX
NPI number
1013336437
Active
Practice location
918 E Southlake Blvd
Southlake, TX 76092-6344
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Durable Medical Equipment & Medical Supplies Primary | 332B00000X | None listed |
Durable Medical Equipment & Medical Supplies: A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
Another provider at this address
About NPI 1013336437
Randall Edward Clark Jr.'s National Provider Identifier is 1013336437, issued on Apr 14, 2014. The primary taxonomy on file is Durable Medical Equipment & Medical Supplies (332B00000X), and the practice location is in Southlake, TX. The record was last updated on Apr 14, 2014.