MS. TRACY S CLARK (NPI# 1982836896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982836896 |
| Entity Type | Individual |
| Full Name | MS. TRACY S CLARK |
| Credential | PA |
| Practice Address |
2115 Pleasanton Rd San Antonio TX 78221-1321 |
| Practice Telephone | 2109223627 |
| Practice Fax Number | 2109779713 |
| Mailing Telephone | 2109223627 |
| Mailing Fax Number | 2109779713 |
| Enumeration Date | 2009-08-12 |
| Last Update Date | 2011-08-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA06398 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013386085 | Tracy Ann Clark | Hearing Instrument Specialist | 3389 W Woolbright Rd, Suite A, Boynton Beach, FL 33436-7245 | 2015-09-21 |
| 1528463593 | Tracy Clark | Speech-Language Pathologist | 6000 Youngstown-warren Rd, Tcesc, Niles, OH 44446 | 2014-11-03 |
| 1366771750 | Tracy Lynn Clark | Licensed Practical Nurse | 2 Backus St, Rochester, NY 14608 | 2009-12-14 |
| 1831103522 | Tracy Clark | Social Worker | 50 Cypress Dr, Glenville, NY 12302-4344 | 2006-07-28 |
| 1104387687 | Tracy Clark Jr. | Behavior Technician | 21600 Oxnard St Ste 1030, Woodland Hills, CA 91367-5085 | 2019-03-27 |
| 1174011670 | Tracy Clark | Behavior Technician | 3160 Crow Canyon Pl Ste 205, San Ramon, CA 94583-1338 | 2018-04-30 |
| 1356856801 | Tracy Michelle Clark | Social Worker | 430 Niagara St, Buffalo, NY 14201-1886 | 2017-12-06 |
| 1477907368 | Tracy Clark | Counselor | 1406 Esplanade Ave, New Orleans, LA 70116-1803 | 2016-04-18 |
| 1952793051 | Tracy Manning Clark | Dentist | 1500 S Dairy Ashford Rd, Ste. 114, Houston, TX 77077-3854 | 2015-02-26 |
| 1922433473 | Tracy Sue Clark | Pharmacist | 7425 Wrigley Dr, Ste 104, Pasco, WA 99301-5292 | 2013-09-03 |
| Street Address |
2115 PLEASANTON RD |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78221-1321 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205946183 | Jar Enterprices Inc | Radiologic Technologist | 2115 Pleasanton Rd, Suite 102, San Antonio, TX 78221-1321 | 2006-08-30 |
| 1962050369 | Brenda Faye Amador Wallace | Nurse Practitioner | 2115 Pleasanton Rd, San Antonio, TX 78221-1321 | 2019-08-28 |
| 1801351226 | Amanda Brindley | Nurse Practitioner | 2115 Pleasanton Rd, San Antonio, TX 78221-1321 | 2019-02-11 |
| 1518491240 | Hugo A. Rojas, M.d.,p.a. | Licensed Practical Nurse | 2115 Pleasanton Rd, S-205, San Antonio, TX 78221-1321 | 2017-04-19 |
| 1003287301 | Nathaniel Gerardo Cervantes | Nurse Practitioner | 2115 Pleasanton Rd, San Antonio, TX 78221-1321 | 2015-10-13 |
| 1780023291 | Thousand Oaks Healthcare LLC | Pharmacy | 2115 Pleasanton Rd, 100, San Antonio, TX 78221-1321 | 2013-06-18 |
| 1235475104 | Edward Destefano | Chiropractor | 2115 Pleasanton Rd, Suite 205, San Antonio, TX 78221-1321 | 2012-12-21 |
| 1164791794 | Sylvia Teresa Chlopek | Occupational Therapist | 2115 Pleasanton Rd, Ste. 203, San Antonio, TX 78221-1321 | 2011-12-28 |
| 1346537990 | Elite Rehab Services, LLC | Clinic/Center | 2115 Pleasanton Rd, Suite 203, San Antonio, TX 78221-1300 | 2011-07-05 |
| 1356501308 | Alberto Alaniz | Physician Assistant | 2115 Pleasanton Rd, Ste 205, San Antonio, TX 78221-1321 | 2008-06-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174025613 | Alessi Royalando Jenkins | Registered Nurse | 11418 Hogan Cv, San Antonio, TX 78221 | 2018-03-01 |
| 1104299528 | Melissa Campos | Licensed Practical Nurse | Wellmed At Sw Military, 517 Sw Military Dr Ste A, San Antonio, TX 78221 | 2015-11-06 |
| 1083055834 | Southside Spinal Care Clinic LLC. | Chiropractor | 1730 Sw Military Dr., Suite 104c, San Antonio, TX 78221 | 2013-07-09 |
| 1164862934 | Robert A Castro | Dentist | 1926 Pleasanton Dr, San Antonio, TX 78221 | 2013-06-26 |
| 1215253851 | Maricella Araiza Falcon-marchiori | Occupational Therapy Assistant | 331 W Gerald, San Antonio, TX 78221 | 2010-04-07 |
| 1992029342 | Access Dental of Pleasanton, P.a. | Dentist | 803 Sw Military Drive, Suite #130, San Antonio, TX 78221 | 2010-03-15 |
| 1598804148 | San Juan Primary Home Care Agency | Home Health | 201 Rayburn Drive, San Antonio, TX 78221 | 2007-02-06 |
| 1669570412 | Cvs Pharmacy Inc | Pharmacy | 103 S W Military Drive, San Antonio, TX 78221 | 2006-09-20 |
| 1649389073 | H-e-b, Lp | Clinical Medical Laboratory | 735 Sw Military Dr, San Antonio, TX 78221 | 2006-08-30 |
| 1790799245 | Mayfield Care Center | Nursing Facility/Intermediate Care Facility | 328 W.mayfield, San Antonio, TX 78221 | 2006-07-28 |
| Find all providers in zip 78221 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447866298 | Diana P Olivares | Physician Assistant | 8920 Quihi Way, San Antonio, TX 78254-1901 | 2020-09-17 |
| 1740893445 | Mcrm Assist, Pllc | Physician Assistant | 14546 Brook Hollow Blvd # 417, San Antonio, TX 78232-3810 | 2020-08-24 |
| 1508476086 | Matthew Gaines | Physician Assistant | 2626 Bluff Xing, San Antonio, TX 78244-1000 | 2020-08-09 |
| 1235757519 | Joseph Dominic Wechsler Jr. | Physician Assistant | 9114 Autumn Skies, San Antonio, TX 78254-1929 | 2020-07-13 |
| 1396368015 | Maureen Genov | Physician Assistant | 540 Madison Oak Dr Ste 450, San Antonio, TX 78258-3932 | 2020-05-28 |
| 1386266062 | Sun Assist, Pllc | Physician Assistant | 10650 Culebra Rd # 104-484, San Antonio, TX 78251-4949 | 2020-05-15 |
| 1134758964 | Mark Lee Nentwig | Physician Assistant | 1434 E Sonterra Blvd Ste 206, San Antonio, TX 78258-4973 | 2020-04-03 |
| 1962034694 | Christina L Russell | Physician Assistant | 525 Oak Centre Dr Ste 100, San Antonio, TX 78258-3916 | 2020-02-11 |
| 1265071203 | Caralyne Sandquist | Physician Assistant | 5510 Presidio Parkway, Building #2 Suite 2401, San Antonio, TX 78249 | 2019-12-21 |
| 1447808498 | Elizabeth Ann Blair | Physician Assistant | 24623 Birdie Rdg, San Antonio, TX 78260-7847 | 2019-09-03 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78221 |
Please comment or provide details below to improve the information on MS. TRACY S CLARK.
| 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.