ROBERT JEFF CLARK BS, CNIM
NPI 1336357045
Specialist/Technologist, Other - Electroneurodiagnostic in Lindale, TX

Q: What is the provider's specialty?

The provider's specialty is Specialist/Technologist, Other with taxonomy code 246ZE0600X and a focus in Electroneurodiagnostic.

Active since May 18, 2007

14983 BOAZ LN, LINDALE, TX 75771(972) 786-6167(903) 882-7748 Get Directions Write a Review

NPPES record last updated: September 2, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Robert Jeff Clark Bs, Cnim NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROBERT JEFF CLARK BS, CNIM (NPI 1336357045) is an individual electroneurodiagnostic provider in Lindale, Texas and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1336357045

Entity TypeIndividualMale

Primary Taxonomy246ZE0600X

Provider Legal NameROBERT JEFF CLARKCredential: BS, CNIM

Location Address14983 BOAZ LNLindale, TX 75771-4801

Mailing Address14983 Boaz LnLindale, TX 75771-4801 · (972) 786-6167 · Fax (903) 882-7748

Phone(972) 786-6167

Fax(903) 882-7748

Sole ProprietorYes

Enumeration DateMay 18, 2007

Last NPPES UpdateSeptember 2, 2021

NPPES CertifiedSeptember 2, 2021

✔ NPI 1336357045 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist, Other · ElectroneurodiagnosticTechnologists, Technicians & Other Technical Service Providers

Taxonomy Code246ZE0600X

14983 BOAZ LN, Lindale, TX 75771

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Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HEAD AND SPINE INSTITUTE LLC

Specialist/Technologist, Other (Electroneurodiagnostic)