Abdul-Ghaffaar Clark, MD
Emergency Medicine in Irving, TX. Individual provider (NPI-1).
NPI number1053949305
StatusActive
Last updated in NPPESApr 27, 2026
Details
- NPI
- 1053949305
- Entity type
- Individual (NPI-1)
- Name
- Abdul-Ghaffaar Clark
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 31, 2020
- Certification date
- Apr 27, 2026
- Last updated
- Apr 27, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | U2465 | TX | Yes |
| 207P00000X | Emergency Medicine | 76601 | WI |
Practice location
6800 N Macarthur BlvdIrving, TX 75039-2422
Phone 414-708-9427
Mailing address
2212 Yaupon DrIrving, TX 75063-3483
Phone 414-708-9427
Other practice locations
4100 State Highway 66
Stevens Point, WI 54482
Stevens Point, WI 54482
Phone 715-236-8100
8701 W Watertown Plank Rd
Wauwatosa, WI 53226-3548
Wauwatosa, WI 53226-3548
Phone 414-955-8296
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