Most Relevant Information
Provider Data
| NPI Number: | 1003833559 |
| Provider Name: | TONI CLARK RN, MS, CFNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363L00000X |
| Specialty: | Nurse Practitioner |
| License Number: | 576086 |
Most Important Dates
| Enumeration Date: | 07/17/2006 |
| Last Updated: | 02/19/2008 |
Provider Practice Location
2500 E MAIN ST
ALICE
TX
783324169
Practice Location Phone/Fax
| Phone: | 7134565000 |
| Fax: |
Provider Mailing Location
PO BOX 849881
DALLAS
TX
752840001
Provider Mailing Phone/Fax
| Phone: | 8669165259 |
| Fax: | 2319224030 |