Individual provider · Type 1 NPI

James T. Clark, MD

Specialist · Tyler, TX

NPI number 1073665964 Active

Practice location

1100 E Lake St, Suite 330
Tyler, TX 75701-3343

Fax (903) 595-3834

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XD3181 (TX)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1073665964

James T. Clark, MD's National Provider Identifier is 1073665964, issued on Jan 18, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Tyler, TX. The record was last updated on Jul 8, 2007.