LESLIE MARICE CLARK (NPI# 1316406218) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316406218 |
| Entity Type | Individual |
| Full Name | LESLIE MARICE CLARK |
| Credential | DO |
| Practice Address |
2900 E 29th St Ste 100 Bryan TX 77802-2623 |
| Mailing Address |
Po Box 1326 Huntington TX 75949-1326 |
| Practice Telephone | 9794360485 |
| Mailing Telephone | 9362401853 |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2019-03-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801156997 | Leslie Joy Clark | Social Worker | 4830 Lakewood Dr Ste 2, Waco, TX 76710-2969 | 2012-05-22 |
| 1942766555 | Leslie Clark | Registered Nurse | 2715 Saint Andrews Loop Ste D, Pasco, WA 99301-3386 | 2019-02-19 |
| 1538661400 | Leslie B Clark | Physical Therapist | 2901 Ridgelake Drive, Suite 209, Metairie, LA 70002-4922 | 2018-03-06 |
| 1477966695 | Leslie Clark | Dental Hygienist | 2460 Willamette St, Eugene, OR 97405-3169 | 2014-06-05 |
| 1497092704 | Leslie A. Clark | Social Worker | 12970 W Bluemound Rd Ste 200, Elm Grove, WI 53122-2607 | 2013-01-07 |
| 1255676839 | Leslie Ann Clark | Nurse Practitioner | 10000 W Colonial Dr, Ste 386, Ocoee, FL 34761-3400 | 2012-12-07 |
| 1508112921 | Leslie Clark | Speech-Language Pathologist | 185 Charlois Blvd, Winston Salem, NC 27103-1521 | 2012-08-03 |
| 1154677011 | Leslie Clark | Physical Therapist | 2744 S 17th St, Wilmington, NC 28412-6606 | 2012-07-30 |
| 1518234327 | Leslie Erin Clark | Registered Nurse | 5671 Santa Teresa Blvd, 105, San Jose, CA 95123-6512 | 2011-11-22 |
| 1467752436 | Leslie Mason Clark | Dietitian, Registered | 472 Klutey Park Plaza Dr, Henderson, KY 42420-3348 | 2010-10-25 |
| Street Address |
2900 E 29TH ST STE 100 |
| City | BRYAN |
| State | TX |
| Zip Code | 77802-2623 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144725771 | Caitlin Carol Morgan | Student in an Organized Health Care Education/Training Program | 2900 E 29th St Ste 100, Bryan, TX 77802-2623 | 2018-03-26 |
| 1669072708 | Sarah Greer | Nurse Practitioner | 2900 E 29th St Ste 100, Bryan, TX 77802-2623 | 2020-10-28 |
| 1326676123 | Calli Fry | Student in an Organized Health Care Education/Training Program | 2900 E 29th St Ste 100, Bryan, TX 77802-2623 | 2020-03-29 |
| 1376170977 | Brianne Marie Rehg | Student in an Organized Health Care Education/Training Program | 2900 E 29th St Ste 100, Bryan, TX 77802-2623 | 2020-03-24 |
| 1942837562 | Eric Ryan Penton | Student in an Organized Health Care Education/Training Program | 2900 E 29th St Ste 100, Bryan, TX 77802-2623 | 2020-03-24 |
| 1013544634 | Ana Lucia Leon-arango | Student in an Organized Health Care Education/Training Program | 2900 E 29th St Ste 100, Bryan, TX 77802-2623 | 2020-03-24 |
| 1982231684 | Deanne L. Phillips | Student in an Organized Health Care Education/Training Program | 2900 E 29th St Ste 100, Bryan, TX 77802-2623 | 2020-03-24 |
| 1174150783 | Carson Klein | Student in an Organized Health Care Education/Training Program | 2900 E 29th St Ste 100, Bryan, TX 77802-2623 | 2020-03-24 |
| 1316574932 | Whitney L Jennings | Student in an Organized Health Care Education/Training Program | 2900 E 29th St Ste 100, Bryan, TX 77802-2623 | 2020-03-24 |
| 1477189355 | Katelyn Jo Light | Student in an Organized Health Care Education/Training Program | 2900 E 29th St Ste 100, Bryan, TX 77802-2623 | 2020-03-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013476951 | Andrea Pittman | Student in an Organized Health Care Education/Training Program | Primary Care Medicine Department, College of Medicine, 2900 East 29th Street, Bryan, TX 77802 | 2019-03-19 |
| 1942789110 | Alicia Diane Ates | Dentist | 3001 Wildflower Drive, Suite #511, Bryan, TX 77802 | 2018-08-09 |
| 1588151682 | Metx LLC | Audiologist-Hearing Aid Fitter | 3030 E 29th St Ste 102, Bryan, TX 77802 | 2018-04-16 |
| 1073047437 | Abbi Messer | Family Medicine | 2900 29th Street, Suite 100, Bryan, TX 77802 | 2017-04-12 |
| 1265885180 | Scott Andrew Thayer | Dentist | 3811 Stoneparc Dr, Bryan, TX 77802 | 2016-07-15 |
| 1255792123 | Phoebe Mathew | Pharmacist | 3312 East 29th Street, Bryan, TX 77802 | 2016-03-18 |
| 1801253810 | Pearl Coleshill | Specialist/Technologist | 3121 University Drive E., Suite 100, Bryan, TX 77802 | 2016-01-21 |
| 1265847750 | Wesley Danielle Daniels | Dietitian, Registered | 3900-c Carter Creek Pkway, Bryan, TX 77802 | 2014-06-24 |
| 1235549098 | Regina V. Robertson | Home Health | 1121 Briarcrest Dr., Suite 102, Bryan, TX 77802 | 2014-05-02 |
| 1982024238 | Lampstand Nursing and Rehabilitation, Lp | Skilled Nursing Facility | 2001 E 29th Street, Bryan, TX 77802 | 2014-04-24 |
| Find all providers in zip 77802 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891324448 | Radhika Shah | Student in an Organized Health Care Education/Training Program | 8447 Riverside Pkwy, Bryan, TX 77807 | 2020-04-06 |
| 1194350918 | Kirtan Patel | Student in an Organized Health Care Education/Training Program | 8447 Riverside Parkway, Bryan, TX 77087 | 2020-03-12 |
| 1013476951 | Andrea Pittman | Student in an Organized Health Care Education/Training Program | Primary Care Medicine Department, College of Medicine, 2900 East 29th Street, Bryan, TX 77802 | 2019-03-19 |
| 1144725771 | Caitlin Carol Morgan | Student in an Organized Health Care Education/Training Program | 2900 E 29th St Ste 100, Bryan, TX 77802-2623 | 2018-03-26 |
| 1053786715 | Katherine Elish | Student in an Organized Health Care Education/Training Program | 21 Gramercy Park Dr Apt 536, Bryan, TX 77802-4544 | 2015-12-07 |
| 1326676123 | Calli Fry | Student in an Organized Health Care Education/Training Program | 2900 E 29th St Ste 100, Bryan, TX 77802-2623 | 2020-03-29 |
| 1376170977 | Brianne Marie Rehg | Student in an Organized Health Care Education/Training Program | 2900 E 29th St Ste 100, Bryan, TX 77802-2623 | 2020-03-24 |
| 1942837562 | Eric Ryan Penton | Student in an Organized Health Care Education/Training Program | 2900 E 29th St Ste 100, Bryan, TX 77802-2623 | 2020-03-24 |
| 1013544634 | Ana Lucia Leon-arango | Student in an Organized Health Care Education/Training Program | 2900 E 29th St Ste 100, Bryan, TX 77802-2623 | 2020-03-24 |
| 1982231684 | Deanne L. Phillips | Student in an Organized Health Care Education/Training Program | 2900 E 29th St Ste 100, Bryan, TX 77802-2623 | 2020-03-24 |
| Find all providers in BRYAN | ||||
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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.