Dr. Sharon Ellen Clark, DO MPH
Preventive Medicine, Occupational Medicine in Ft Worth, TX. Individual provider (NPI-1).
NPI number1457571192
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1457571192
- Entity type
- Individual (NPI-1)
- Name
- Dr. Sharon Ellen Clark
- Credential
- DO MPH
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 26, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2083X0100X | Preventive Medicine, Occupational Medicine | G3232 | TX | Yes |
Practice location
2500 Lou Menk DrFt Worth, TX 76131-2828
Phone 871-352-2483 · Fax 817-352-7192
Mailing address
2708 Maple Brook CtBedford, TX 76021-7212
Phone 817-540-3380 · Fax 817-399-0911
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