ANDREW ELTON CLARK (NPI# 1093374936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093374936 |
| Entity Type | Individual |
| Full Name | ANDREW ELTON CLARK |
| Credential | PHD |
| Practice Address |
6201 Harry Hines Blvd Dallas TX 75390-0001 |
| Mailing Address |
2180 E Circulo Solaz Tucson AZ 85718-1193 |
| Practice Telephone | 2146336342 |
| Practice Fax Number | 2146338817 |
| Enumeration Date | 2019-06-12 |
| Last Update Date | 2019-06-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246QM0900X |
Spec/Tech, Pathology Specialization: Microbiology |
Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194288563 | Andrew Byler Clark | Student in an Organized Health Care Education/Training Program | 200 Jeanette Lancaster Way, Charlottesville, VA 22903-3388 | 2019-04-11 |
| 1588156509 | Andrew Jeffrey Clark | Chiropractor | 6304 College Blvd, Overland Park, KS 66211-1506 | 2018-06-05 |
| 1518373257 | Andrew Clark | Case Manager/Care Coordinator | 100 Barberry Dr, Knoxville, TN 37912 | 2014-07-02 |
| 1316215528 | Andrew J Clark | Counselor | 1219 Oak Knoll Rd, Santa Maria, CA 93455-4303 | 2011-12-02 |
| 1992017164 | Andrew Edward Clark | Dentist | 1036-42 Dunn Ave, Jacksonville, FL 32218-6359 | 2010-07-05 |
| 1760683635 | Andrew Clark | Student in an Organized Health Care Education/Training Program | 109 Pine Knoll Dr, 347, Ridgeland, MS 39157-1350 | 2007-05-30 |
| 1912988635 | Andrew Robert Clark | Family Medicine | 5123 4th Avenue Cir E, Bradenton, FL 34208-5620 | 2005-11-09 |
| 1679034508 | Andrew Jeffrey Clark | Student in an Organized Health Care Education/Training Program | 530 S Jackson St, Louisville, KY 40202-1675 | 2019-03-25 |
| 1447745336 | Andrew Clark | Student in an Organized Health Care Education/Training Program | 1450 San Pablo St Fl 4, Los Angeles, CA 90033-5331 | 2018-06-25 |
| 1609365352 | Andrew Thomas Clark | Registered Nurse | 54 New Hyde Park Rd, Garden City, NY 11530 | 2018-05-08 |
| Street Address |
6201 HARRY HINES BLVD |
| City | DALLAS |
| State | TX |
| Zip Code | 75390-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366049140 | Linda Anne Gilmore | Dietitian, Registered | 6201 Harry Hines Blvd, Dallas, TX 75390-0001 | 2020-10-05 |
| 1750916813 | Sophia Cho | Physician Assistant | 6201 Harry Hines Blvd, Dallas, TX 75390-0001 | 2020-03-10 |
| 1487288767 | Eric Hattoy | Nurse Practitioner | 6201 Harry Hines Blvd, Dallas, TX 75390-0001 | 2020-02-26 |
| 1730713934 | Thuydiem Teresa Nguyen | Physical Therapist | 6201 Harry Hines Blvd, Dallas, TX 75235 | 2020-02-26 |
| 1962036459 | Rose Montonchaikul | Physical Therapist | 6201 Harry Hines Blvd, Dallas, TX 75390-9237 | 2020-02-24 |
| 1063044204 | Gene Marie Legaspi | Nurse Practitioner | 6201 Harry Hines Blvd, Dallas, TX 75390-0001 | 2020-02-05 |
| 1134767585 | Ashley Christine Britt | Registered Nurse | 6201 Harry Hines Blvd, Dallas, TX 75390-0001 | 2019-12-17 |
| 1447809090 | Emily Lundberg | Physician Assistant | 6201 Harry Hines Blvd, Dallas, TX 75390-7201 | 2019-09-06 |
| 1083269914 | Camille Houck | Nurse Practitioner | 6201 Harry Hines Blvd, Dallas, TX 75390-7320 | 2019-08-07 |
| 1851944623 | Blessey John | Physician Assistant | 6201 Harry Hines Blvd, Dallas, TX 75390 | 2019-07-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467075655 | Richard Mark Bresler | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Blvd, Mc9159, Dallas, TX 75390 | 2020-05-21 |
| 1356970735 | Fabricio Stewan Feltrin | Student in an Organized Health Care Education/Training Program | 5323 Harry Hynes Boulevard, Dallas, TX 75390 | 2020-04-07 |
| 1477016467 | Seagal Raza Dauglas | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Mc9159, Dallas, TX 75390 | 2019-04-08 |
| 1831674340 | Adwoa Aninkorah | Nurse Practitioner | Ut Southwestern Medical Center 5151 Harry Hines Blvd, Dallas, TX 75390 | 2018-10-01 |
| 1194212712 | Christian Lobue | Clinical Neuropsychologist | 6333 Forest Park Road, 1st Floor, Bla 100, Dallas, TX 75390 | 2018-04-19 |
| 1912439720 | Linsey Lindley | Student in an Organized Health Care Education/Training Program | 5939 Harry Hines Blvd 4th Floor Suite 100, Dallas, TX 75390 | 2017-03-30 |
| 1043759418 | Alyssa Macchiaroli | Registered Nurse | 5323 Harry Hines Blvd Mail Code 8590, Dallas, TX 75390 | 2017-02-18 |
| 1609313980 | Megan Rasmussen Bollner | Physician Assistant | 5303 Harry Hines Blvd Fl 9, Dallas, TX 75390 | 2017-01-25 |
| 1518329168 | Danny Hsu Yang | Hospitalist | 6201 Harry Hines Blved, Dallas, TX 75390 | 2016-03-23 |
| 1780046532 | Omer Mirza | Hospitalist | 6201 Harry Hines Blvd Dallas, Dallas, TX 75390 | 2016-03-22 |
| Find all providers in zip 75390 | ||||
| Taxonomy Code | 246QM0900X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Spec/Tech, Pathology |
| Specialization | Microbiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558728675 | James Western Jacobson | Spec/Tech, Pathology | 10401 Town Park Drive, Houston, TX 77072-5219 | 2016-01-20 |
| 1760652721 | Magaly Martinez | Spec/Tech, Pathology | 7400 Merton Minter St, San Antonio, TX 78229-4404 | 2008-03-06 |
| 1932303567 | Consuella F Green | Spec/Tech, Pathology | 2002 Holcombe Blvd, Houston, TX 77030-4211 | 2007-06-14 |
| 1891908059 | James Royce Davis | Spec/Tech, Pathology | 6565 Fannin Street, Ms205, Houston, TX 77030-2703 | 2007-05-07 |
| 1730273327 | Durdana Pirwani | Spec/Tech, Pathology | 2002 Holcombe Blvd, Microbiology Lab, Houston, TX 77030-4211 | 2006-10-03 |
| 1316056559 | Patricia Anne Byers | Spec/Tech, Pathology | 2002 Holcombe Blvd, Infection Control Program (room 4b-158), Houston, TX 77030-4211 | 2006-08-30 |
| 1730299421 | A Denise Rhodes-webb | Spec/Tech, Pathology | 2002 Holcombe Blvd, Mailstop 113, Houston, TX 77030-4211 | 2006-08-30 |
| 1326156290 | Janet Osborne | Spec/Tech, Pathology | 2002 Holcombe Blvd, Microbiology 113, Houston, TX 77030-4211 | 2006-08-29 |
| 1134237902 | Jean Munnerlyn | Spec/Tech, Pathology | 2002 Holcombe Blvd, Micro 113, Houston, TX 77030-4211 | 2006-08-29 |
| 1710095336 | Chau Gia Nguyen | Spec/Tech, Pathology | 2002 Holcombe Blvd, Houston, TX 77030-4211 | 2006-08-25 |
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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.