C CLARKE II MD GYN PA NPI 1174785042

NPI Information

NPI: 1174785042
Provider Name: C CLARKE II MD GYN PA
Classification: Clinic/Center - 261QM2500X
Specialization: Medical Specialty
Entity Type: Organization
Doing Business As: CARLTON K CLARKE II MD
Address: 407 W I 30
GARLAND, TX
ZIP 75043
Phone: (972) 303-2222

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NPI Details

C CLARKE II MD GYN PA is a medical specialty clinic center in Garland, TX. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). C CLARKE II MD GYN PA NPI is 1174785042. The provider is registered as an organization entity type.
The provider Is Doing Business As Carlton K Clarke Ii Md.

The provider's business location address is:

407 W I 30
GARLAND, TX
ZIP 75043-912
Phone: (972) 303-2222
Fax: (972) 303-2220

The provider's authorized official is Carlton Keith Clarke .
The authorized official title is Physician / Owner and has the following contact phone number (214) 316-0913.

The enumeration date for this NPI number is 7/1/2008 and was last updated on 3/6/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM2500X	Clinic/Center	Medical Specialty	L4890	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1529026-01	MEDICAID	TEXAS
2	H78235	MEDICARE UPIN	TEXAS
3	00548H	OTHER	TEXAS	OB/GYN SPECIALTY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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