Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Broadway I-30 Medical Clinic, PLLC

Organization Family Medicine Physician · NPI 1992157697

Broadway I-30 Medical Clinic, PLLC is a Family Medicine Physician in Garland, Texas. Licensed in Texas. Registered with an NPI since 2016.

Licensed in
TX
In the registry since
2016
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

407 W Interstate 30
Garland, TX 75043-5912
Phone: (972) 240-8539
Fax: (972) 303-1994
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence F0154 (TX)
Obstetrics & Gynecology Physician Taxonomy 207V00000X · Licence L4890 (TX)

Record details

NPI number1992157697
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carlton Clarke — Medical Director-Owner · (214) 803-4516
NPI enumeratedJuly 6, 2016
Last updated in NPPESJuly 6, 2016
Mailing address407 W Interstate 30, Garland, TX 75043-5912

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