DR. CLARK ALEXANDER WILSON


Address: 901 W 38th St Ste 200, Austin, TX 78705-1165
Phone: 5124214235

DR. CLARK ALEXANDER WILSON (NPI# 1083963334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1083963334
Entity Type Individual
Full Name DR. CLARK ALEXANDER WILSON
Credential MD
Practice Address 901 W 38th St Ste 200
Austin
TX 78705-1165
Mailing Address Po Box 911230
Dallas
TX 75391-1230
Practice Telephone 5124214235
Mailing Telephone 9729978000
Mailing Fax Number 9722342987
Enumeration Date 2012-09-02
Last Update Date 2020-08-14
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 208800000X Urology 35.135944 OH Allopathic & Osteopathic Physicians
Y 208800000X Urology Q7812 TX Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
TX 387365502 05
TX 387365503 05

Office Location

Street Address 901 W 38TH ST STE 200
City AUSTIN
State TX
Zip Code 78705-1165

Providers in the same location

NPI Name Taxonomy Address Enumeration
1124089412 Christopher Owen Ruud Internal Medicine 901 W 38th St Ste 200, Austin, TX 78705-1165 2006-03-28
1851865042 Chelsea Crilly Nurse Practitioner 901 W 38th St Ste 200, Austin, TX 78705-1165 2019-01-22
1215438452 Mary Jane Berry Nurse Practitioner 901 W 38th St Ste 200, Austin, TX 78705-1165 2018-02-22
1821598848 Hannah Astrid-brooke Culver Physician Assistant 901 W 38th St Ste 200, Austin, TX 78705-1165 2018-02-16
1467744391 Athira Unnikrishnan Internal Medicine 901 W 38th St Ste 200, Austin, TX 78705-1165 2011-05-11
1992952659 Heather Merceir King Surgery 901 W 38th St Ste 200, Austin, TX 78705-1165 2008-08-25
1396910899 Kathryn Long Stone Clinical Nurse Specialist 901 W 38th St Ste 200, Southwest Regional Cancer Center, Austin, TX 78705-1165 2008-04-25
1700909744 Andrew Jacob Brenner Internal Medicine 901 W 38th St Ste 200, Austin, TX 78705 2007-04-06
1184775231 Rebecca Fisher Psychiatry & Neurology 901 W 38th St Ste 200, Austin, TX 78705-1165 2007-01-16
1467545004 Morris D. Groves Jr. Psychiatry & Neurology 901 W 38th St Ste 200, Austin, TX 78705-1165 2006-10-02
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1740894559 Ben Aviel Specialist/Technologist 2501 Leon, Austin, TX 78705 2020-08-31
1700408739 Julie Marie Dorland Obstetrics & Gynecology Ut Austin Dell Medical School Obgyn Medical Park Tower, 1301 W 38th St, Suite 705, Austin, TX 78705 2020-05-13
1952941155 Oluwakemi Yemi-ese Counselor 2717 Rio Grande Street, Austin, TX 78705 2020-01-15
1285272765 Lisa K Wheeler Counselor 2520 Longivew Street, Suite 313, Austin, TX 78705 2019-12-16
1033767637 Olivia May Neel Specialist/Technologist 620 West 24th Street, 208a, Austin, TX 78705 2019-08-28
1336795202 Grace Evelyn Martin Specialist/Technologist University of Texas, 110 Inner Campus Drive, Austin, TX 78705 2019-08-15
1801450317 Nicole Buchele Obstetrics & Gynecology Ut Austin Dell Medical School-obgyn, Medical Park Tower, 1301 W 38th St, Suite 705, Austin, TX 78705 2019-04-30
1124502794 Joan Margaret Carroll Physician Assistant 3000 N, I-35, Suite 600, Austin, TX 78705 2018-09-19
1841797636 Corbin Anne Weaver Obstetrics & Gynecology Medical Park Tower, 1301 W. 38th St., Suite 705, Austin, TX 78705 2018-04-09
1740707892 Christine Marie Falk Specialist/Technologist 2810 Hemphill Park, Apt 211, Austin, TX 78705 2017-08-29
Find all providers in zip 78705

Taxonomy Information

Taxonomy Code 208800000X
Grouping Allopathic & Osteopathic Physicians
Classification Urology

Taxonomy Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1215443064 Greater Austin Urology, Pllc Urology 11673 Jollyville Rd Ste B101, Austin, TX 78759 2017-12-15
1366853152 Lawrence Tsai Urology 12319 N Mopac Expy Ste 200, Austin, TX 78758-2497 2014-05-14
1558780031 Rachel Sosland Urology 4207 James Casey St Ste 107, Austin, TX 78745-1192 2014-04-10
1457676215 Kelly Jeanne Nast Urology 1301 Barbara Jordan Blvd Ste 302, Austin, TX 78723-3078 2010-04-05
1477795458 Edward Charles Osterberg IIi Urology 1400 North Interstate 35 Frontage Rd, Suite Cl 300, Austin, TX 78701-1996 2009-04-06
1245497387 Danielle Dienert Sweeney Urology 916 Springdale Rd Bldg 5-102, Austin, TX 78702 2008-05-16
1023100492 J Stuart Wolf Jr. Urology 1400 Barbara Jordan Blvd Ste 1.114, Mailcode R1800, Austin, TX 78723-3092 2006-09-29
1982601274 Jeffrey Neal Kocurek Urology 1301 W 38th St, Ste. #200, Austin, TX 78705-1000 2005-07-01
1083618706 Joy Nielsen Urology 12221 N Mo Pac Expy, Austin, TX 78758-2401 2005-06-10
1548262728 Jose Carlos Cortez Urology 1301 Barbra Jordan Blvd., Suite 302, Austin, TX 78723-3078 2005-06-01
Find all providers in AUSTIN

Competitor

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City AUSTIN
Zip Code 78705

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Dataset Information

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.

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