Individual provider · Type 1 NPI

Robert Jeff Clark, BS, CNIM

Electroneurodiagnostic Specialist/Technologist · Lindale, TX

NPI number 1336357045 Active

Practice location

14983 Boaz Ln
Lindale, TX 75771-4801

Fax (903) 882-7748

Specialties and licenses

TaxonomyCodeLicense
Electroneurodiagnostic Specialist/Technologist Primary 246ZE0600XNone listed

Electroneurodiagnostic Specialist/Technologist: Definition to come...

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About NPI 1336357045

Robert Jeff Clark, BS, CNIM's National Provider Identifier is 1336357045, issued on May 18, 2007. The primary taxonomy on file is Electroneurodiagnostic Specialist/Technologist (246ZE0600X), and the practice location is in Lindale, TX. The record was last updated on Sep 2, 2021.