IndividualActive
Stacey Clark, MD
NPI 1184808511 · Pediatric Otolaryngology Physician · Austin, TX
Provider details
- NPI number
- 1184808511
- Entity type
- Individual
- Primary specialty
- Pediatric Otolaryngology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- N9190 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
3705 Medical Pkwy
Suite 200
Austin, TX 78705-1019
Phone: (512) 324-2720
Approximate (ZIP-level) locationGet directions
Mailing address
3705 Medical Pkwy
Austin, TX 78705-1019
Registry dates
- Enumerated
- 2007-12-20
- Last updated
- 2012-01-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.