WILLIAM CLARK MEDICAL GROUP PA (NPI# 1790828648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790828648 |
| Entity Type | Organization |
| Organization Name | WILLIAM CLARK MEDICAL GROUP PA |
| Practice Address |
133 Northpoint Dr Houston TX 77060-3207 |
| Mailing Address |
Po Box 670188 Houston TX 77267-0188 |
| Practice Telephone | 2812720888 |
| Practice Fax Number | 7136957765 |
| Mailing Telephone | 2812720888 |
| Mailing Fax Number | 2812720895 |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2011-07-01 |
| Authorized Official Name | WILLIAM D CLARK (PRESIDENT) |
| Authorized Official Telephone | 2812720888 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | E4818 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 083833601 | 05 | |
| TX | 1760445704 | 05 | |
| TX | 1790828648 | 05 | |
| TX | 130727403 | 05 | |
| TX | 130727402 | 05 |
| Street Address |
133 NORTHPOINT DR |
| City | HOUSTON |
| State | TX |
| Zip Code | 77060-3207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538493739 | Sudipta Kumar Chaudhuri | Internal Medicine | 133 Northpoint Dr, Houston, TX 77060-3207 | 2009-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942822762 | Salvations Hospice | Hospice Care, Community Based | 215 W. Alabama Street, Suite 102, Houston, TX 77060 | 2020-05-14 |
| 1639790124 | Simone Warner | Case Manager/Care Coordinator | 350 Belway 8, Houston, TX 77060 | 2020-05-06 |
| 1124664685 | Leah Haynes | Technician | 514 Connorval Ln, Houston, TX 77060 | 2019-11-20 |
| 1932680576 | Jacky Thai | Physical Therapy Assistant | 11120 North Fwy, Houston, TX 77060 | 2018-08-22 |
| 1881174852 | Wesley Healthcare, LLC | Hospice Care, Community Based | 650 Sam Houston Pkwy E. Suite 210, Houston, TX 77060 | 2018-08-18 |
| 1184133506 | Rising Transportation | Non-emergency Medical Transport (VAN) | 519 N. Sam Houston Pkwy East, Ste. 450-o, Houston, TX 77060 | 2017-09-28 |
| 1205356524 | Savoy-nicholas Outreach Services, Inc. | Community/Behavioral Health | 525 N. Sam Houston Parkway E. Suite 416, Houston, TX 77060 | 2017-06-27 |
| 1942736533 | Pediatric Home Healthcare | Home Health | 363 N Sam Houston Pkwy E Ste 340, Houston, TX 77060 | 2017-05-03 |
| 1669857686 | Carlos Eduardo Garcia | Speech-Language Pathologist | 12941 North Freeway Ste. 401, Houston, TX 77060 | 2015-07-21 |
| 1982084208 | Texas Family Hospice and Palliative Care | Hospice Care, Community Based | 426 Alvin Bender, Ste C, Houston, TX 77060 | 2015-06-02 |
| Find all providers in zip 77060 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376151472 | Canice Chukwuocha | General Practice | 3030 Elmside Dr Apt 179, Houston, TX 77042-3926 | 2020-07-15 |
| 1902424518 | Medkare | General Practice | 2426 Lake Kolbe Ln, Houston, TX 77080-2562 | 2020-07-09 |
| 1477191757 | Holistic Innovative Interventional Pain Associates Pllc | General Practice | 4615 Southwest Freeway #850, Houston, TX 77027 | 2019-12-17 |
| 1467019109 | Eldere Germain | General Practice | 5850 Duxbury St, Houston, TX 77035-4211 | 2019-05-28 |
| 1235697822 | Joy Ileruwa Ebomwonyi | General Practice | 17567 Imperial Valley Dr, Houston, TX 77060-7706 | 2019-03-04 |
| 1194295030 | Westheimer Medical Group Pllc | General Practice | 5433 Westheimer Rd Ste 275, Houston, TX 77056-5331 | 2018-12-04 |
| 1538639638 | Clear Mind Agency LLC | General Practice | 1300 N Post Oak Rd, Houston, TX 77055-5431 | 2018-11-30 |
| 1346739158 | Abc Solutions Group Corp | General Practice | 10333 Harwin Dr Ste 530l, Houston, TX 77036-1545 | 2018-05-07 |
| 1073018768 | V & V Medical Management | General Practice | 13626 Veterans Memorial Dr Ste F, Houston, TX 77014 | 2018-03-26 |
| 1942703525 | Victor Yosef Melt Campos | General Practice | 1220 W Pierce St, Houston, TX 77019-4146 | 2018-03-09 |
| 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.