DR. MITZI D CLARK (NPI# 1699100651) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1699100651 |
Entity Type | Individual |
Full Name | DR. MITZI D CLARK |
Credential | DVM |
Practice Address |
4434 Frontier Trl Austin TX 78745-1514 |
Practice Telephone | 5128929038 |
Mailing Telephone | 5128929038 |
Enumeration Date | 2013-09-10 |
Last Update Date | 2013-09-10 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 174M00000X | Veterinarian | 12588 | TX | Other Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780999748 | Mitzi Clark | Pharmacist | 6520 Fratt Rd, San Antonio, TX 78218-4402 | 2010-08-16 |
Street Address |
4434 FRONTIER TRL |
City | AUSTIN |
State | TX |
Zip Code | 78745-1514 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831320514 | Elizabeth Mattingly Kirzeder | Veterinarian | 4434 Frontier Trl, Austin, TX 78745-1514 | 2009-07-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023617511 | Samantha Lynne Weston | Speech-Language Pathologist | 8515 Brodie Lane, Apt 2011, Austin, TX 78745 | 2020-10-26 |
1275172686 | Nithphaphone Tracy Bounsing | Registered Nurse | 4316 James Casey St, Building F, Suite 201, Austin, TX 78745 | 2020-01-02 |
1225685712 | Integrative Medical Group of Texas | General Practice | 6905 West Gate Blvd. Ste A, Austin, TX 78745 | 2019-08-20 |
1962971499 | Kimberly Angela Mancini | Social Worker | 5015 South Ih 35 Frontage Road, Austin, TX 78745 | 2018-11-14 |
1093223885 | Emma Rose Marek | Speech-Language Pathologist | 2700 Norfolk Drive, Austin, TX 78745 | 2018-01-16 |
1528586690 | Ashley Ellison | Social Worker | 4201 South Congress, Austin, TX 78745 | 2017-09-08 |
1134666761 | Carey Sebera | Counselor | 2812 Goldbridge Dr, Austin, TX 78745 | 2017-01-20 |
1932644507 | Maya Conlon | Social Worker | 2501 W. William Cannon Dr., Bldg 6 Ste. A, Austin, TX 78745 | 2017-01-05 |
1285189134 | 512 Physical Therapy and Golf Performance Center | Physical Therapist | 6800 Westgate Blvd, Suite 117, Austin, TX 78745 | 2016-08-22 |
1326401803 | Chris Winkley | Physical Therapist | 5510 S Ih 35 Frontage Rd #240, Austin, TX 78745 | 2016-04-01 |
Find all providers in zip 78745 |
Taxonomy Code | 174M00000X |
Grouping | Other Service Providers |
Classification | Veterinarian |
A doctor of veterinary medicine, trained and authorized to practice veterinarian medicine and surgery. |
Notes: Source: Dorland’s Illustrated Medical Dictionary. 28th edition. Philadelphia: W.B. Saunders Company, 1994, p. 1823 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619301249 | Charla Lynn Jones | Veterinarian | 9125 Manchaca Rd., Ste. B, Austin, TX 78748 | 2013-08-30 |
1629372008 | Theresa Hardy | Veterinarian | 3426 Greystone Dr, Austin, TX 78731-2341 | 2010-12-29 |
1871809178 | Staci M Cox | Veterinarian | 12034 Research Blvd Ste 8, Austin, TX 78759-2405 | 2010-08-24 |
1831320514 | Elizabeth Mattingly Kirzeder | Veterinarian | 4434 Frontier Trl, Austin, TX 78745-1514 | 2009-07-29 |
1215368733 | Laurie Elaine Dulaney | Veterinarian | 5114 Balcones Woods Dr, Suite 312, Austin, TX 78759-5212 | 2013-12-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720458250 | Melanie Hensley | Veterinarian | 13688 S State Highway 6, Bryan, TX 77807-4209 | 2015-09-26 |
1235508565 | Bonnie Jean Kemnitz | Veterinarian | 2900 Tx-95 North, Bastrop, TX 78602 | 2015-09-16 |
1447636212 | Westcreek Animal Clinic P.C. | Veterinarian | 3313 Park Lake Dr., Fort Worth, TX 76133 | 2015-08-04 |
1912382003 | David Alan Roush | Veterinarian | 203 Old Brandon Road, Hillsboro, TX 76645 | 2015-07-30 |
1407237225 | Tracy Tommack | Veterinarian | 2250 Thousand Oaks Dr Ste 102, San Antonio, TX 78232-3968 | 2015-06-17 |
1639560535 | Tristan Lee | Veterinarian | 6800 E Highway 67, Alvarado, TX 76009-6857 | 2015-02-12 |
1073903027 | Ingrid Feder | Veterinarian | 3022 Northpark Dr, Kingwood, TX 77339-5114 | 2015-01-29 |
1972901361 | Michael Jones | Veterinarian | 1404 Ne Big Bend Trl, Glen Rose, TX 76043-5020 | 2014-12-17 |
1477951846 | Phillip Henderson | Veterinarian | 601 Shaffner St, Ponder, TX 76259-7002 | 2014-12-16 |
1174921548 | Julie Stanek | Veterinarian | 145 E Centerville Rd, Garland, TX 75041-4633 | 2014-12-16 |
Find all providers with the same taxonomy |
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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.