Whalio Doctors

NPI 1003811928

John Samuel Clarke, MD

Practitioner Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Bullard, TX

Practice location

Address
119 Lake Bluff Dr, Bullard, TX 75757-9740
Phone
(903) 825-1981
Fax
(903) 825-3375
Mailing address
PO Box 10090, Tyler, TX 75711-0090

Registered specialties (2)

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208G00000X Licence G9082 (TX)
Surgery Physician
Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence G9082 (TX)

Registry record

NPI
1003811928
Entity type
Individual
Sex (as registered)
Male
NPI issued
16 Jun 2005
Record last updated
12 Aug 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.