C Clarke II MD GYN PA

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

L4890 Issued in TX

Legal business name

C CLARKE II MD GYN PA

Doing business as

Carlton K Clarke II MD

Practice address

407 W I 30
Garland, TX 75043-5912

Phone

(972) 303-2222

Fax

(972) 303-2220

NPI assigned

Jul 1, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Carlton Keith Clarke II, M.D.

Title

Physician / Owner

Phone

(214) 316-0913

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Carlton K Clarke II MD Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1214870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236297600000",
    "number": "1174785042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3308 PRESTON RD",
            "address_2": "STE 350, PMB 110",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750937453",
            "telephone_number": "972-303-2222",
            "fax_number": "972-303-2220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 W I 30",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750435912",
            "telephone_number": "972-303-2222",
            "fax_number": "972-303-2220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C CLARKE II MD GYN PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-01",
        "last_updated": "2009-03-06",
        "status": "A",
        "authorized_official_last_name": "CLARKE",
        "authorized_official_first_name": "CARLTON",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "PHYSICIAN / OWNER",
        "authorized_official_telephone_number": "214-316-0913",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "TX",
            "license": "L4890",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1529026-01",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OB/GYN SPECIALTY",
            "identifier": "00548H",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carlton K Clarke II MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Medical Specialty Clinic/Center in Garland, TX
• Providers in Garland, TX by specialty
• Medical Specialty Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.