Samuel David Clark, D.O.

Pediatrics Physician · Waco, TX

Individual Active NPI

NPI number 1346391752

Practice location

120 Hillcrest Medical Blvd
Suite 200
Waco, TX 76712-8948
Phone
(254) 297-0400

Open in Google Maps

NPI record

NPI
1346391752
Entity type
Individual (Type 1)
Enumeration date
January 13, 2007
Last updated
January 13, 2021
Certified
January 13, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatrics Physician Primary 208000000X N4354 TX

About Dr. Clark

Samuel David Clark, D.O. is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatrics Physician (code 208000000X). The practice location is 120 Hillcrest Medical Blvd, Suite 200, Waco, TX 76712-8948. The NPI number 1346391752 was assigned on January 13, 2007 and the record was last updated on January 13, 2021.

Dr. Clark lists a license in the registry: #N4354 (TX) for Pediatrics Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Samuel David Clark, D.O.?

The NPI number is 1346391752.

What is the phone number of Dr. Clark?

The phone number listed for the practice location is (254) 297-0400.

Where is Dr. Clark located?

120 Hillcrest Medical Blvd, Suite 200, Waco, TX 76712-8948.

What is the taxonomy code for Dr. Clark?

The primary taxonomy code is 208000000X – Pediatrics Physician.

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.

Other Pediatrics Physician providers in Waco

All Pediatrics Physician providers in Waco, TX →