William Clark, ATC, LAT

Athletic Trainer · Conroe, TX

Individual Active NPI

NPI number 1114470168

Practice location

3200 W Davis St
Conroe, TX 77304-2040
Phone
(936) 709-5793
Fax
(936) 709-5863

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NPI record

NPI
1114470168
Entity type
Individual (Type 1)
Enumeration date
July 26, 2016
Last updated
July 26, 2016
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Athletic Trainer Primary 2255A2300X AT1497 TX

About William Clark

William Clark, ATC, LAT is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 3200 W Davis St, Conroe, TX 77304-2040. The NPI number 1114470168 was assigned on July 26, 2016 and the record was last updated on July 26, 2016.

William Clark lists a license in the registry: #AT1497 (TX) for Athletic Trainer. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of William Clark, ATC, LAT?

The NPI number is 1114470168.

What is the phone number of William Clark?

The phone number listed for the practice location is (936) 709-5793.

Where is William Clark located?

3200 W Davis St, Conroe, TX 77304-2040.

What is the taxonomy code for William Clark?

The primary taxonomy code is 2255A2300X – Athletic Trainer.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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