Individual provider · Type 1 NPI

Marguerite Lillie Clark, NP

Obstetrics & Gynecology Nurse Practitioner · Austin, TX

NPI number 1740986629 Active

Practice location

12200 Renfert Way Ste 100
Austin, TX 78758-5654

Specialties and licenses

TaxonomyCodeLicense
Obstetrics & Gynecology Nurse Practitioner Primary 363LX0001X1178492 (TX)

Obstetrics & Gynecology Nurse Practitioner: Definition to come...

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About NPI 1740986629

Marguerite Lillie Clark, NP's National Provider Identifier is 1740986629, issued on Feb 2, 2023. The primary taxonomy on file is Obstetrics & Gynecology Nurse Practitioner (363LX0001X), and the practice location is in Austin, TX. The record was last updated on Jan 13, 2025.