MICHAEL CLARK (NPI# 1215534227) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215534227 |
| Entity Type | Individual |
| Full Name | MICHAEL CLARK |
| Practice Address |
1107 Lavender Shade Court Houston TX 77073 |
| Mailing Address |
40 Cypress Creek Pkwy Ste 536 Houston TX 77090-3530 |
| Practice Telephone | 8177074440 |
| Mailing Telephone | 8177074440 |
| Enumeration Date | 2020-10-02 |
| Last Update Date | 2020-10-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171W00000X | Contractor | 18841841 | TX | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558858464 | Michael Clark | Optometrist | 990 Medical Dr Ste G3, Brigham City, UT 84302 | 2018-04-16 |
| 1740780006 | Michael Ryan Clark | Pharmacist | 556 Northside Drive, Statesboro, GA 30458 | 2018-02-13 |
| 1942715255 | Michael Clark | Physical Medicine & Rehabilitation | 10600 Riverside Drive, Coral Springs, FL 33071-3307 | 2017-12-08 |
| 1386170348 | Michael Clark | Registered Nurse | 317 E 100 N, Price, UT 84501-2504 | 2017-05-11 |
| 1184163982 | Michael Clark | Specialist/Technologist | 19 Second Ave, Auburn, NY 13021-5113 | 2017-02-14 |
| 1356780837 | Michael Clark | Adult Companion | 8305 Concord Dr, Rowlett, TX 75089-2001 | 2013-06-18 |
| 1417394503 | Michael Ray Clark | Pharmacist | 2661 Valleydale Rd, Hoover, AL 35244-2026 | 2013-05-29 |
| 1407143381 | Michael Jeffery Clark | Orthopaedic Surgery | 5671 Peachtree Dunwoody Ste 700, Atlanta, GA 30342-5047 | 2011-06-29 |
| 1700183993 | Michael Brady Clark | Preventive Medicine | 1400 Mckean Rd, Spring House, PA 19477 | 2011-02-24 |
| 1457663023 | Michael Ahart Clark | Massage Therapist | 2010 Mount Zion Rd, C, Morrow, GA 30260-3314 | 2010-07-11 |
| Street Address |
1107 LAVENDER SHADE COURT |
| City | HOUSTON |
| State | TX |
| Zip Code | 77073 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891286365 | Cina Pharmaceutical Inc | Durable Medical Equipment & Medical Supplies | 21602 E. Hardy Rd, Houston, TX 77073 | 2018-05-21 |
| 1972032373 | Home for Today | Custodial Care Facility | 1206 Laurel Chase Trail, Houston, TX 77073 | 2017-06-08 |
| 1386097590 | Cynthia D D Jones | Psychologist | 918 Garden Land Ct, Houston, TX 77073 | 2016-07-22 |
| 1467836676 | Justine Fomukong | Day Training, Developmentally Disabled Services | 2739 Cypress Island Dr, Houston, TX 77073 | 2015-07-17 |
| 1821399486 | Lonestar Medics Ems, Inc | Ambulance | 19422 Remington Cross Dr, Houston, TX 77073 | 2010-11-12 |
| 1891023255 | Rely Able Medical Supply of Houston | Durable Medical Equipment & Medical Supplies | 303 Remington Green Court, Houston, TX 77073 | 2009-11-24 |
| 1306014147 | Rayford Dental | Dentist | 2535 F.m.1960 East, Houston, TX 77073 | 2008-02-14 |
| 1033726641 | Siedzecare LLC | In Home Supportive Care | 310 Parramatta Ln Apt 3225, Houston, TX 77073-1038 | 2020-09-28 |
| 1346588373 | Honeybeeseniorcareservices | Custodial Care Facility | 22820 Imperial Valley Dr # 3708, N/a, Houston, TX 77073-1055 | 2013-01-25 |
| 1972528990 | Thomas Stephen Woods | Specialist/Technologist | 22351 Imperial Valley Dr, Houston, TX 77073-1102 | 2006-07-12 |
| Find all providers in zip 77073 | ||||
| Taxonomy Code | 171W00000X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |
| Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427657659 | Mipcn, Inc. | Contractor | 9305 Hammerly Blvd, Houston, TX 77080-5413 | 2020-10-19 |
| 1609493444 | Kizzey Ann Collins | Contractor | 810 Skyline Trl, Houston, TX 77019-2950 | 2020-06-27 |
| 1417572439 | Eco Azured Wade | Contractor | 18727 Holly Way, Houston, TX 77084-3880 | 2020-06-15 |
| 1356988430 | Donna Marie Sanders | Contractor | 903 Grand Plains Dr, Houston, TX 77090-5613 | 2019-12-08 |
| 1194360750 | Lecitha White | Contractor | 988 Ringold St, Houston, TX 77088-6255 | 2019-11-07 |
| 1699336578 | Pleashette James | Contractor | 10113 Rosehaven Dr, Houston, TX 77051-3609 | 2019-06-22 |
| 1740847409 | Christopher Dewayne Gardner | Contractor | 4251 Meadowchase Ln, Houston, TX 77014-1706 | 2019-05-28 |
| 1205399094 | A.v.c Painting & Construction, LLC | Contractor | 12330 Greenmesa Dr, Houston, TX 77044-7260 | 2019-04-09 |
| 1326506155 | Santy Enriquez | Contractor | 5238 Starkridge Dr, Houston, TX 77035-3028 | 2019-03-11 |
| 1366900672 | Sheeniquo Bate | Contractor | 722 Pine Lodge Dr, Houston, TX 77090-5614 | 2019-03-05 |
| Find all providers in HOUSTON | ||||
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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.