DEONNA MICHELLE CLARK


Address: 6500 Rookin St, Suite 200, Houston, TX 77074-5019
Phone: 8325485000

DEONNA MICHELLE CLARK (NPI# 1609145572) 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) 1609145572
Entity Type Individual
Full Name DEONNA MICHELLE CLARK
Credential NP
Practice Address 6500 Rookin St
Suite 200
Houston
TX 77074-5019
Mailing Address Po Box 66308
Houston
TX 77266-6308
Practice Telephone 8325485000
Practice Fax Number 7135234897
Mailing Telephone 8325485076
Mailing Fax Number 7135234897
Enumeration Date 2011-12-22
Last Update Date 2012-10-18
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LW0102X Nurse Practitioner
Specialization: Women's Health
661103 TX Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
TX 080462703 05
TX STATE BOARD OF NURSING, APN LICENSURE 661103 01

Other Providers DEONNA CLARK

NPI Name Taxonomy Address Enumeration
1760929962 Deonna Clark Occupational Therapist 406 Riverchase Blvd, Madison, TN 37115-2034 2017-01-25

Office Location

Street Address 6500 ROOKIN ST
SUITE 200
City HOUSTON
State TX
Zip Code 77074-5019

Providers in the same location

NPI Name Taxonomy Address Enumeration
1316972805 John Dioquino Dentist 6500 Rookin St, 200, Houston, TX 77074-5019 2006-07-12
1902469406 Priscila Eunice Leal Social Worker 6500 Rookin St, Houston, TX 77074-5019 2019-04-19
1265725949 Legacy Community Health Services, Inc Clinic/Center 6500 Rookin St, Suite 200, Houston, TX 77074-5019 2011-05-27
1871738484 Joanna Rb Guzman Counselor 6500 Rookin St, Building B Suite 200, Houston, TX 77074-5019 2008-12-10
1700033073 Erica Avery Social Worker 6500 Rookin St, Suite 200, Houston, TX 77074 2008-08-19
1023216793 Jeanette B Valdivieso Psychiatry & Neurology 6500 Rookin St, Suite 200, Houston, TX 77074 2007-07-04
1679784391 Melissa Ochoa Perez Psychiatry & Neurology 6500 Rookin St, Suite 200, Houston, TX 77074 2007-05-24
1164532008 Lourdes M Murra Family Medicine 6500 Rookin St, Suite 200, Houston, TX 77074-5014 2006-08-30

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1164934501 Tiffany Danielle Miller Home Health Aide 7810 Nairn, Houston, TX 77074 2017-10-25
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Taxonomy Information

Taxonomy Code 363LW0102X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Women's Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1235600164 Emily Medley Nurse Practitioner 2652 Westgate St, Houston, TX 77098-1412 2018-12-17
1760962526 Jasmine J Sacus Nurse Practitioner 5800 Bellaire Blvd., Bldg. 1b, Ste. 120, Houston, TX 77081-5537 2018-08-20
1063892107 Sherill D. Kennedy Nurse Practitioner 2617 W Holcombe Blvd, Houston, TX 77025-1757 2015-06-03
1700144623 Sylvia Ann Poe-velasco Nurse Practitioner 6400 Fannin St Ste 1900, Houston, TX 77030-1528 2012-04-28
1093082158 Rachel Alline Naegeli Nurse Practitioner 4600 Gulf Fwy Ste 100, Houston, TX 77023-3548 2011-11-17
1689963720 Narmadha Peter Nurse Practitioner 807 Orchard Peak Ct, Houston, TX 77062-2167 2011-03-29
1356503353 Lesley Nichole Launikitis Nurse Practitioner 3601 Fannin St, Houston, TX 77004-3913 2008-06-30
1932394541 Sara M Dean Nurse Practitioner 6651 Main St Ste F420, Houston, TX 77030 2007-09-07
1336218981 Rebecca Sue Runyan Dowdy Nurse Practitioner 15003 Fm 529 Rd, Ste A, Houston, TX 77095-4375 2006-11-07
1255419644 Deallen Burse Nurse Practitioner 14412 Jasmine Terrace Ln, Houston, TX 77047-2979 2006-11-01
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Competitor

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City HOUSTON
Zip Code 77074

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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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