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Dr. Patrick Alan Clark, OD

Optometrist in New Braunfels, TX. Individual provider (NPI-1).

NPI number1164048591
StatusActive
Last updated in NPPESFeb 5, 2025

Details

NPI
1164048591
Entity type
Individual (NPI-1)
Name
Dr. Patrick Alan Clark
Credential
OD
Sex
Male
Sole proprietor
Yes
Enumeration date
Jun 22, 2020
Certification date
Feb 5, 2025
Last updated
Feb 5, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X Optometrist10036TXYes

Practice location

266 Landa St Ste 100
New Braunfels, TX 78130-8061

Phone 956-256-5879

Mailing address

202 N Mitchell St
Rio Grande City, TX 78582-2509

Phone 956-256-5879

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