Individual provider · Type 1 NPI
Edward Deallen Clark, MD
Obstetrics & Gynecology Physician · Grapevine, TX
NPI number
1730294232
Active
Practice location
1600 W College St Ste LL10
Grapevine, TX 76051-3598
Fax (817) 410-7986
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Obstetrics & Gynecology Physician Primary | 207V00000X | K3564 (TX) |
Obstetrics & Gynecology Physician: An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
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About NPI 1730294232
Edward Deallen Clark, MD's National Provider Identifier is 1730294232, issued on Aug 21, 2006. The primary taxonomy on file is Obstetrics & Gynecology Physician (207V00000X), and the practice location is in Grapevine, TX. The record was last updated on Jul 8, 2007.