| Doctor Name: | DR. CLARK GORDON SPEARS |
| NPI Number: | 1770872327 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | D2302 |
| Business Practice Address: | 1505 Kelving Way Wharton, TX - 774883417 |
| Business Phone Number: | 9795324675 |
| Business Fax Number: | |
| Mailing Address: | 1505 Kelving Way, WHARTON |
| State: | TX |
| Postal Code: | 774883417 |
| Phone Number: | 9795324675 |
| Fax Number: | |
| NPI Enumeration Date: | 04/05/2011 |
| NPI Last Update Date: | 04/05/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | D2302 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |