AUSTRALIA D CLARK (NPI# 1528329562) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528329562 |
| Entity Type | Individual |
| Full Name | AUSTRALIA D CLARK |
| Credential | M.D. |
| Practice Address |
6318 Fm 1488 Rd Ste 100 Magnolia TX 77354-2763 |
| Practice Telephone | 9363213110 |
| Practice Fax Number | 9363213125 |
| Mailing Telephone | 9363213110 |
| Mailing Fax Number | 9363213125 |
| Enumeration Date | 2012-06-06 |
| Last Update Date | 2015-06-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Q1805 | TX | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
6318 FM 1488 RD STE 100 |
| City | MAGNOLIA |
| State | TX |
| Zip Code | 77354-2763 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225646771 | Alex Chu | Dentist | 4849 Farm To Market Rd 1488, Suite #800, Magnolia, TX 77354 | 2020-07-21 |
| 1548886948 | Alexander M Beltran | Dentist | 18640 Farm To Market Rd 1488, Suite I, Magnolia, TX 77354 | 2020-06-22 |
| 1710524079 | Keegen Jonelle Barboo | Physician Assistant | 6022 Farm To Market Rd, 1488, Magnolia, TX 77354 | 2019-12-05 |
| 1467097931 | Select Physical Therapy Texas Limited Partnership | Clinic/Center | 5667 Fm 1488, Magnolia, TX 77354 | 2019-11-08 |
| 1942854583 | Mava Healthcare System LLC | Clinic/Center | 18230 Fm 1488 Suite 201, Magnolia, TN 77354 | 2019-08-01 |
| 1861909855 | Hays Nichols | Physical Therapy Assistant | Grand Estates 30000 Fm 2978, Apt 532, Magnolia, TX 77354 | 2017-12-29 |
| 1417492620 | Yos Healthcare Services Inc | Home Health | 15 Springtime Creek Dr., The Woodlands, TX 77354 | 2016-12-23 |
| 1205210929 | Kenneth Kim | Dentist | 6519 Fm 1488, Westwood Village, #505, Magnolia, TX 77354 | 2015-07-13 |
| 1861813438 | Sandstone Chiropractic Magnolia, Pllc | Chiropractor | 6875 Fm 1488, Suite 1300, Magnolla, TX 77354 | 2013-12-26 |
| 1467897447 | America's Er Site 001, LLC | Clinic/Center | 32784 Fm 2978, Suite A, Magnolia, TX 77354 | 2013-05-06 |
| Find all providers in zip 77354 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871107474 | Mimo Medical Services, LLC | Family Medicine | 2506 Crestview Dr, Magnolia, AR 71753-4336 | 2020-09-02 |
| 1164688099 | Christian Edward Ong Dyhianto | Family Medicine | 6912 Fm 1488 Rd, Suite A, Magnolia, TX 77354-1527 | 2008-07-30 |
| 1124290390 | Vu Anh Phung | Family Medicine | 6022 Fm 1488 Rd, Magnolia, TX 77354-2542 | 2008-03-28 |
| 1285856971 | James William Chambliss | Family Medicine | 1701 E North St, Magnolia, AR 71753-3204 | 2007-05-03 |
| 1053477711 | Kimberly Renee Lemaster | Family Medicine | 111 Magnolia Street, Magnolia, MS 39652 | 2006-12-28 |
| 1023179207 | Randall Dean Walker | Family Medicine | 827 S. Magnolia Blvd, Suite 6, Magnolia, TX 77355 | 2006-12-12 |
| 1043385115 | Sunshine Primary Care Pa | Family Medicine | 33300 Egypt Ln, Suite A400, Magnolia, TX 77354-2739 | 2006-11-22 |
| 1841383957 | James Michael Stanton | Family Medicine | 827 Magnolia Blvd Ste 6, Magnolia, TX 77355-8553 | 2006-10-02 |
| 1689781007 | Lucius M. Lampton | Family Medicine | 111 Magnolia St, Magnolia, MS 39652-2825 | 2006-08-23 |
| 1558389098 | Francesco G Nicoletti | Family Medicine | 10025 Cleveland Ave S, Magnolia, OH 44643 | 2006-07-17 |
| Find all providers in MAGNOLIA | ||||
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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.