Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Broadway I-30 Medical Clinic, PLLC

Organization Family Medicine Physician · NPI 1992157697

Broadway I-30 Medical Clinic, PLLC provides Family Medicine Physician services in Garland, Texas. Licensed in Texas. Registered with an NPI since 2016.

Licensed in
TX
In the registry since
2016
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

407 W Interstate 30
Garland, TX 75043-5912 Not confirmed with CMS for 10 years — call before visiting
Phone: (972) 240-8539
Fax: (972) 303-1994
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence F0154 (TX)
Obstetrics & Gynecology Physician Taxonomy 207V00000X · Licence L4890 (TX)

Record details

NPI number1992157697
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carlton Clarke — Medical Director-Owner · (214) 803-4516
NPI enumeratedJuly 6, 2016
Last updated in NPPESJuly 6, 2016
Mailing address407 W Interstate 30, Garland, TX 75043-5912

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