MARILYN CLARK (NPI# 1548701329) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548701329 |
| Entity Type | Individual |
| Full Name | MARILYN CLARK |
| Credential | RT, CT, RVS |
| Practice Address |
8700 9th Ave Ste 108 Port Arthur TX 77642-8069 |
| Practice Telephone | 4097191266 |
| Mailing Telephone | 4097191266 |
| Enumeration Date | 2017-03-14 |
| Last Update Date | 2017-03-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246XS1301X |
Spec/Tech, Cardiovascular Specialization: Sonography |
00024384 | TX | Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740350081 | Marilyn Foster Clark | Counselor | 5405 Purlington Way, Baltimore, MD 21212-3406 | 2006-11-08 |
| 1164534624 | Marilyn R. Clark | Internal Medicine | 30 Northampton Street, Boston, MA 02118-4010 | 2006-08-31 |
| 1851351845 | Marilyn K. Clark | Internal Medicine | 2401 S 31st St, Temple, TX 76508-0001 | 2006-03-24 |
| Street Address |
8700 9TH AVE STE 108 |
| City | PORT ARTHUR |
| State | TX |
| Zip Code | 77642-8069 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164038253 | Residential Senior Care (rsc) | Assisted Living Facility | 8040 Honeywood Trial, Port Arthur, TX 77642 | 2020-09-23 |
| 1912547746 | Port Arthur Surgical Center, LLC | Clinic/Center | 3919 Twin City Hwy, Port Arthur, TX 77642 | 2020-01-09 |
| 1538533906 | Carolyn Williams | Nurse Practitioner | 8333 9th Ave Ste A, Port Arthur, TX 77642 | 2015-11-22 |
| 1003295312 | Peacock Heavenly Massage | Massage Therapist | 3800 Hwy 365, Regional Square, Port Arthur, TX 77642 | 2015-05-20 |
| 1346651718 | Bunrith Koy | Family Medicine | 3620 East Farm To Market Road 365, Port Arthur, TX 77642 | 2014-05-19 |
| 1679896534 | Jared Clark Mallory | Physical Therapist | 3398 25th Street, Port Arthur, TX 77642 | 2010-03-08 |
| 1750564902 | Isam N. Anabtawi | Family Medicine | 1750 9th Ave., Suite 202, Port Arthur, TX 77642 | 2007-12-11 |
| 1710179445 | Marian Tan Medical Group Ltd LLP | Pediatrics | 3220 Central Mall Drive, Port Arthur, TX 77642 | 2007-08-16 |
| 1497952253 | Waheeda Mithani | Surgery | 3820 Hwy. 365, Suite 200, Port Arthur, TX 77642 | 2007-06-27 |
| 1295939015 | Pamela Spencer Albacete | Speech-Language Pathologist | 7200 9th Ave., Port Arthur, TX 77642 | 2007-06-14 |
| Find all providers in zip 77642 | ||||
| Taxonomy Code | 246XS1301X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Spec/Tech, Cardiovascular |
| Specialization | Sonography |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568085538 | Christina Danielle Barraco | Spec/Tech, Cardiovascular | 5723 Glenmere Ln, Spring, TX 77379-7845 | 2020-05-25 |
| 1265067276 | Charles Drew Smith | Spec/Tech, Cardiovascular | 914 Rscr 3345, Emory, TX 75440-4810 | 2020-03-10 |
| 1013547314 | Annali Goette | Spec/Tech, Cardiovascular | 305 Murray Farm Dr Apt 428, Fairview, TX 75069-6907 | 2020-01-25 |
| 1932751146 | Edis Hobson | Spec/Tech, Cardiovascular | 8323 Southwest Fwy Ste 470, Houston, TX 77074-1636 | 2019-07-09 |
| 1538625306 | Brian Lawson | Spec/Tech, Cardiovascular | 5508 Valley Oak Dr, El Paso, TX 79932-4404 | 2019-02-15 |
| 1811468077 | Nyquist Imaging,llc | Spec/Tech, Cardiovascular | 7248 Copper Trail Ave, El Paso, TX 79934-3415 | 2018-12-16 |
| 1477023448 | Keylesha Susso | Spec/Tech, Cardiovascular | 1705 Coit Rd Apt 1017, Plano, TX 75075-6146 | 2018-12-03 |
| 1922504455 | Beng Mooi Liew | Spec/Tech, Cardiovascular | 3401 Nova Trl, Plano, TX 75023-3608 | 2018-04-03 |
| 1215432034 | Tiffany Aneu | Spec/Tech, Cardiovascular | 5301 W Spring Creek Pkwy Apt 735, Plano, TX 75024-4905 | 2018-03-25 |
| 1427565860 | Lynette Gascoigne | Spec/Tech, Cardiovascular | 18833 Town Ridge Lane, Apt 1424, Webster, TX 77598-7759 | 2018-01-08 |
| Find all providers with the same taxonomy | ||||
| City | PORT ARTHUR |
| Zip Code | 77642 |
Please comment or provide details below to improve the information on MARILYN 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.