STEVEN CLARK MD PLLC NPI 1174902621

NPI Information

  • NPI: 1174902621
  • Provider Name: STEVEN CLARK MD PLLC
  • Classification: Surgery - 2086S0122X
  • Specialization: Plastic and Reconstructive Surgery
  • Entity Type: Organization
  • :
  • Address: 18170 DALLAS PKWY STE 202
    DALLAS, TX
    ZIP 75287
  • Phone: (469) 675-3659

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NPI Details

STEVEN CLARK MD PLLC is a plastic and reconstructive surgery surgery in Dallas, TX. The provider is a surgeon who specializes in plastic and reconstructive surgery. STEVEN CLARK MD PLLC NPI is 1174902621. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider .

The provider's business location address is:

18170 DALLAS PKWY STE 202
DALLAS, TX
ZIP 75287-149
Phone: (469) 675-3659
Fax: (469) 675-3181

The provider's authorized official is Steven A Clark .
The authorized official title is Authorized Official/owner and has the following contact phone number (469) 675-3659.

The enumeration date for this NPI number is 5/29/2015 and was last updated on 7/24/2025.

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
1208200000XPlastic SurgeryN3567TEXASNo
22082S0105XPlastic SurgerySurgery of the HandN3567TEXASNo
32086S0105XSurgerySurgery of the HandN3567TEXASNo
42086S0122XSurgeryPlastic and Reconstructive SurgeryN3567TEXASYes

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
13560955MEDICAIDTEXAS

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: 11/21/2025

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