P Praxis·MD
● Active Type 1 · Individual

DR. Justin Wayne Clark, MD

Dermatology·Lubbock, TX· NPI 1639164098 · Enumerated 2005 · 20 years on NPI
Clark is 1 of 21 dermatology providers in Lubbock and 1 of 1632 in Texas.
NPI age
20 years
Enumerated 2005-09-13
Primary specialty
Dermatology
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2007-10-25
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1632 active dermatology providers in Texas.

NPI age
20 years
↑ 4 yr above median (16 yr)
State licenses
1 state
8% of peers hold multiple states
Subspecialties
0
29% of peers hold subspecialties

NPI lifetime · 2005 → 2026

2005-09Enumerated in NPPES
2005 2026

Where they practice

Practice location
3601 22nd St, Lubbock Dermatology
Lubbock, TX 794101309
📞 8067967193fax 8067960034
Mailing address
3601 22nd St
Lubbock, TX 794101309
📞 8067967193fax 8067960034

Specialties

  • Dermatology Primary
    A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The...
    TX license #K4662 taxonomy 207N00000X

Identifiers

TypeValueNotes
05 (TX) 120680701

Practice context

Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.

Provyx · Custom healthcare lists

Need all 1632 Dermatology providers in Texas?

Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.

Request a quote →

How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

Related