RANDALL EDWARD CLARK JR. (NPI# 1013336437) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013336437 |
| Entity Type | Individual |
| Full Name | RANDALL EDWARD CLARK JR. |
| Practice Address |
918 E Southlake Blvd Southlake TX 76092-6344 |
| Practice Telephone | 2145045651 |
| Mailing Telephone | 2145045651 |
| Enumeration Date | 2014-04-14 |
| Last Update Date | 2014-04-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255960415 | Randall Lewis Clark | Pharmacist | 43 Williamson Rd Ste B, Greenville, PA 16125-1224 | 2020-04-08 |
| 1598997330 | Randall Clark | Massage Therapist | 13830 58th St N Ste 404, Clearwater, FL 33760-3720 | 2009-08-12 |
| 1891790374 | Randall Clark | Urology | 4325 Sun N Lake Blvd Ste 105, Sebring, FL 33872-2171 | 2005-06-20 |
| 1265873111 | Randall Bruce Clark II | Radiology | 1 Hospital Dr, Columbia, MO 65212-1000 | 2013-07-08 |
| 1063573319 | Randall Norton Clark | Family Medicine | 3299 Clear Vista Ct Ne, Suite C, Grand Rapids, MI 49525-9477 | 2006-12-12 |
| 1447200944 | Randall Clark | Anesthesiology | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2006-05-12 |
| Street Address |
918 E SOUTHLAKE BLVD |
| City | SOUTHLAKE |
| State | TX |
| Zip Code | 76092-6344 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013336338 | Allcare Medical Services | Durable Medical Equipment & Medical Supplies | 918 E Southlake Blvd, Southlake, TX 76092-6344 | 2014-04-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730718990 | Elizabeth Beazley | Family Medicine | 1050 E. Hwy 114 Suite 100, Southlake, TX 76092 | 2020-04-08 |
| 1518508894 | Arbor Pediatrics, Pllc | Pediatrics | 1130 N Kimball Ave, Southlake, TX 76092 | 2019-10-08 |
| 1346882685 | Gs Ortho Assists, Pllc | Physician Assistant | 2600 East Southlake Boulevard Suite 120, Southlake, TX 76092 | 2019-10-08 |
| 1609340496 | Rebecca Leigh Lander | Physician Assistant | 1170 N Carroll Ave., Southlake, TX 76092 | 2019-01-15 |
| 1225506223 | Physicians Wellness Associates Pllc | Family Medicine | 1920 East State Highway 114, Southlake, TX 76092 | 2018-11-07 |
| 1740762459 | Brandi L. Barker | Chiropractor | 590 N. Kimball Ave, Suite 140, Southlake, TX 76092 | 2018-08-30 |
| 1033699228 | Julie A. Seeber | Physical Therapy Assistant | 170 Stonebridge Lane, Southlake, TX 76092 | 2018-08-16 |
| 1992281364 | Alayna Powers | Nurse Practitioner | 900 E Southlake Blvd Ste 300, Southlake, TX 76092 | 2018-07-18 |
| 1346732153 | Amrittej Singh Virk | Dentist | 630 N Kimball Ave Ste 110, Southlake, TX 76092 | 2018-06-06 |
| 1740779594 | Radiant Family Dental Pllc | Dentist | 2012 Southlake Glen Dr., Southlake, TX 76092 | 2018-05-08 |
| Find all providers in zip 76092 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497369458 | Seek Health LLC | Durable Medical Equipment & Medical Supplies | 211 E Southlake Blvd Ste 106, Southlake, TX 76092-6274 | 2020-09-06 |
| 1902433600 | Americare, LLC | Durable Medical Equipment & Medical Supplies | 3326 Van Zandt Ct, Southlake, TX 76092-3333 | 2020-03-24 |
| 1356899025 | Vintage Medical, LLC | Durable Medical Equipment & Medical Supplies | 251 E Southlake Blvd Ste 150, Southlake, TX 76092-6276 | 2016-09-12 |
| 1518410711 | Blue Ridge Medical Solutions LLC | Durable Medical Equipment & Medical Supplies | 351 Bank St, # 102, Southlake, TX 76092 | 2016-07-25 |
| 1013360999 | Axis Pain Institute of North America | Durable Medical Equipment & Medical Supplies | 1209 Saint Emilion Ct, Southlake, TX 76092-4617 | 2016-07-15 |
| 1205284783 | Spry Medical Group Corporation | Durable Medical Equipment & Medical Supplies | 558 Silicon Dr Ste 102, Southlake, TX 76092-7530 | 2016-05-25 |
| 1578917654 | Innovative Prosthetics Inc | Durable Medical Equipment & Medical Supplies | 935 S Kimball Ave, Ste 170, Southlake, TX 76092-9032 | 2016-04-14 |
| 1497055677 | Vra, Inc | Durable Medical Equipment & Medical Supplies | 2140 E. Southlake Blvd., Ste. L #508, Southlake, TX 76092 | 2010-10-22 |
| 1295060259 | Curatus Health Solutions Inc | Durable Medical Equipment & Medical Supplies | 700 E Southlake Blvd, 130-b, Southlake, TX 76092-6353 | 2009-10-08 |
| 1265766018 | Texas Orthotics Inc | Durable Medical Equipment & Medical Supplies | 2380 Dean Way, Suite 140, Southlake, TX 76092-1379 | 2009-09-28 |
| Find all providers in SOUTHLAKE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.