ROBERT BROOKS CLARKE


Address: 520 E Douglas Blvd, Tyler, TX 75702-8307
Phone: 9035931721

ROBERT BROOKS CLARKE (NPI# 1225162753) 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) 1225162753
Entity Type Individual
Full Name ROBERT BROOKS CLARKE
Credential PA
Practice Address 520 E Douglas Blvd
Tyler
TX 75702-8307
Mailing Address Po Box 846098
Dallas
TX 75284-6098
Practice Telephone 9035931721
Mailing Telephone 9033246450
Enumeration Date 2007-03-15
Last Update Date 2014-10-10
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant PA01650 TX Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
TX 200344401 05
TX TRICARE CANTON LOCATION TIN PLUS 001 01
TX TRICARE DOUGLAS LOCATION TIN PLUS 007 01
TX TRICARE LINDALE LOCATION TIN PLUS 028 01

Other Providers ROBERT CLARKE

NPI Name Taxonomy Address Enumeration
1114934007 Robert A Clarke Internal Medicine 108 South Munn Ave, East Orange, NJ 07018 2006-08-02
1568077873 Robert Martin Clarke Social Worker 69 N Broad St, Brevard, NC 28712-3725 2020-09-14
1255987194 Robert G Clarke Iv Specialist/Technologist 1160 Steelwood Rd, Columbus, OH 43212-1356 2019-08-15
1245708486 Robert Clarke Marriage & Family Therapist 4405 W Riverside Dr Ste 208, Burbank, CA 91505-4050 2018-11-06
1831415355 Robert John Clarke Chiropractor 1519 9th St, Ste 101, Marysville, WA 98270 2010-04-08
1992798748 Robert William Clarke Jr. Pediatrics 8120 Main St, Suite 300, Houma, LA 70360-3403 2005-08-26

Office Location

Street Address 520 E DOUGLAS BLVD
City TYLER
State TX
Zip Code 75702-8307

Providers in the same location

NPI Name Taxonomy Address Enumeration
1316917750 David H Beaird Internal Medicine 520 E Douglas Blvd, Tyler, TX 75702-8307 2006-01-26
1487973350 Rebecca L Monahan Dietitian, Registered 520 E Douglas Blvd, Tyler, TX 75702-8307 2010-05-18
1366671216 Trinity Clinic Clinic/Center 520 E Douglas Blvd, Tyler, TX 75702-8307 2009-07-13
1619152139 Amanda Elizabeth Mullins Nurse Practitioner 520 E Douglas Blvd, Tyler, TX 75702-8307 2008-01-03
1356364178 Neda Esfandiari Family Medicine 520 E Douglas Blvd, Tyler, TX 75702-8307 2006-07-25
1316966971 Albert C Lee Specialist 520 E Douglas Blvd, Tyler, TX 75702-8307 2006-07-18
1134163868 Marcia W Green Nurse Practitioner 520 E Douglas Blvd, Tyler, TX 75702-8307 2006-06-15
1407896293 Andria Beth Cardinalli-stein Internal Medicine 520 E Douglas Blvd, Tyler, TX 75702-8307 2006-06-08
1649246315 James Gregory Stovall Internal Medicine 520 E Douglas Blvd, Tyler, TX 75702 2006-02-23
1245206937 Oscar Ray Wilson Family Medicine 520 E Douglas Blvd, Tyler, TX 75702-8307 2006-02-23
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679116610 Tiffiney Mcmakin Nurse Practitioner 810 E Houston St # 100, Tyler, TX 75702 2019-10-22
1659852507 Krystal Gayle Lilley Licensed Vocational Nurse 100 E Ferguson St Ste 60a, Tyler, TX 75702 2018-08-28
1679029383 Cynthia Lynn Kalawe Physical Therapist 100 E Ferguson, Suite 1204, Tyler, TX 75702 2016-09-01
1649623646 Susan E Oxford Social Worker 13495 Frankston Highway, Tyler, TX 75702 2016-07-14
1053769281 All Kidz Kan Home Health 2902 E Front St, Tyler, TX 75702 2016-05-27
1821415639 Heather Mullins Physical Therapy Assistant 100 E. Ferguson Ste.1204, Tyler, TX 75702 2014-03-19
1346671336 Dennis Keith Johnson Dentist 3081 Hwy. 31 East, Tyler, TX 75702 2013-12-02
1275882201 Bobby Gibson Counselor 401 East Front Street, Ste 233, Tyler, TX 75702 2012-09-06
1144596792 Tina Marie Borke Clinical Neuropsychologist 719 West Front St., Tyler, TX 75702 2012-03-28
1457629529 James Whaley Rapp Specialist/Technologist 430 South Beckham Avenue, Trinity Mother Frances Sports Medicine, Tyler, TX 75702 2011-12-05
Find all providers in zip 75702

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1972129997 Elizabeth Niedrauer Physician Assistant 2314 S Kennedy Ave, Tyler, TX 75701-5242 2020-06-25
1629489042 Lifetime Health Center Physician Assistant 1420 Wsw Loop 323, Suite 100, Tyler, TX 75701-9347 2014-05-20
1407273428 East Texas Physician Assistant Services Physician Assistant 5380 Old Bullard Rd Ste 600-125, Tyler, TX 75703-3607 2014-03-27
1023356524 Vitality Center Physician Assistant 14444 Eastside Rd, Tyler, TX 75707-6724 2013-01-18
1790029007 John M Mclean Physician Assistant 3700 Mcdonald Rd, Apt 260, Tyler, TX 75701-6253 2012-11-27
1124058524 David Beck Physician Assistant 1133 Medical Dr, Tyler, TX 75701-2130 2006-07-03
1467444141 Thomas R Scholler Physician Assistant 703 S Fleishel Ave, Tyler, TX 75701-2015 2005-08-18
1376535054 Stephanie S Carter Physician Assistant 703 S Fleishel Ave Ste 4000, Tyler, TX 75701 2005-08-18
1992797799 Matthew M Hand Physician Assistant 619 S Fleishel Ave, Suite 101, Tyler, TX 75701-2004 2005-08-17
1518962299 Nina Beth Partin Physician Assistant 910 E Houston St, Ste 550, Tyler, TX 75702-8369 2005-06-17
Find all providers in TYLER

Competitor

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City TYLER
Zip Code 75702

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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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