Randall Edward Clark Jr.
Randall Edward Clark Jr. is a Durable Medical Equipment & Medical Supplies in Southlake, Texas. Practices as a sole proprietor. Registered with an NPI since 2014.
- In the registry since
- 2014
Practice location Address checks out
918 E Southlake BlvdSouthlake, TX 76092-6344
Phone: (214) 504-5651
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Durable Medical Equipment & Medical Supplies (primary) | Taxonomy 332B00000X |
|---|
Record details
| NPI number | 1013336437 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | April 14, 2014 |
| Last updated in NPPES | April 14, 2014 |
| Mailing address | 918 E Southlake Blvd, Southlake, TX 76092-6344 |
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