DR. CHRIS A CLARK (NPI# 1760457857) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760457857 |
| Entity Type | Individual |
| Full Name | DR. CHRIS A CLARK |
| Credential | M.D. |
| Practice Address |
5345 N George Bush Fwy Garland TX 75040-2767 |
| Practice Telephone | 9724955888 |
| Practice Fax Number | 9724950588 |
| Mailing Telephone | 9724955888 |
| Mailing Fax Number | 9724950588 |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2012-12-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | J9478 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 198853701 | 05 | |
| TX | AETNA NON-HMO | 7885130 | 01 |
| TX | AETNA HMO | 2356360 | 01 |
| TX | BCBS | 0049EN | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376072645 | Chris James Clark | Massage Therapist | 11178 Katrine, Taylor, MI 48180 | 2017-06-08 |
| 1679975858 | Chris Clark | Specialist/Technologist | 1 Falcon Ct, Pleasant Hill, CA 94523-2739 | 2014-09-19 |
| 1912169269 | Chris Clark | Chiropractor | 3142 E Plaza Blvd Ste T, National City, CA 91950-3941 | 2008-06-27 |
| 1386904654 | Chris Gordon Clark | Counselor | 6666 Green Valley Cir, Culver City, CA 90230-7068 | 2012-05-21 |
| 1689634362 | Chris Allen Clark | Pathology | 960 Joe Frank Harris Pkwy Se, Cartersville, GA 30120-2129 | 2006-03-25 |
| Street Address |
5345 N GEORGE BUSH FWY |
| City | GARLAND |
| State | TX |
| Zip Code | 75040-2767 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912220955 | Healthtexas Provider Network | Durable Medical Equipment & Medical Supplies | 5345 N George Bush Fwy, Garland, TX 75040-2767 | 2010-03-04 |
| 1538495510 | Monica Foote Ward | Physician Assistant | 5345 N George Bush Fwy, Garland, TX 75040-2767 | 2009-10-26 |
| 1386978526 | Kellie S Wess | Physician Assistant | 5345 N George Bush Fwy, Garland, TX 75040-2767 | 2009-09-21 |
| 1992945802 | Jennifer Lynne Mcguirk | Physician Assistant | 5345 N George Bush Fwy, Garland, TX 75040-2767 | 2009-03-05 |
| 1578717385 | Lindsey E Nichols | Nurse Practitioner | 5345 N George Bush Fwy, Garland, TX 75040-2767 | 2008-11-06 |
| 1639103112 | Nancy G Stretch | Nurse Practitioner | 5345 N George Bush Fwy, Garland, TX 75040-2767 | 2006-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467938407 | Craig R Baginski, Dds Inc | Dentist | 4433 Naaman Forest Blvd, Garland, TX 75040 | 2018-07-12 |
| 1356838981 | Firewheel Pediatric Dental Specialists Pllc | Dentist | 4880 N President George Bush Hwy Ste 104, Garland, TX 75040 | 2018-04-19 |
| 1801312947 | Etsub Negussie Haileselassie | Radiology | 1702 Arbor Creek Dr., Garland, TX 75040 | 2017-08-21 |
| 1073038089 | Ashakrishna Nair | Nurse Practitioner | 5702 Lavon Drive, Cvs, Garland, TX 75040 | 2017-08-10 |
| 1336672856 | Rosialyllc Dba Garland Adult Care Center | Clinic/Center | 3845 N. Garland Ave, 700b, Garland, TX 75040 | 2017-04-11 |
| 1699211276 | Yishak Yemane Abebu | Non-emergency Medical Transport (VAN) | 1502 Townbluff St., Garland, TX 75040 | 2017-01-06 |
| 1124478375 | Nisha Liz John P.l.l.c | Dentist | 3046 Lavon Drive, Suite 125,127, Garland, TX 75040 | 2016-06-20 |
| 1265893275 | A1 Hospice Care LLC | Hospice Care, Community Based | 317 Still Meadow Drive, Garland, TX 75040 | 2016-03-18 |
| 1922474345 | Wai Mei Lee | Dentist | 1309 Belt Line Rd, Unit A, Garland, TX 75040 | 2015-08-19 |
| 1972990901 | Turnpike Vision, PC | Optometrist | 485 Cedar Sage Space J13, Garland, TX 75040 | 2015-04-16 |
| Find all providers in zip 75040 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033764162 | Avery James LLC | Family Medicine | 6330 Broadway Blvd Ste C, Garland, TX 75043-5956 | 2019-08-06 |
| 1831665272 | Md24 Tx, Pa | Family Medicine | 675 Town Square Blvd Ste 200, Garland, TX 75040-2991 | 2018-10-23 |
| 1255822383 | Mixon Integrated Health Pllc | Family Medicine | 1919 S Shiloh Rd Ste 107, Garland, TX 75042-8234 | 2018-05-24 |
| 1568982304 | Wholistic Healthcare Solutions: Mind, Body & Spirit, Pllc | Family Medicine | 6309 Fallbrook Dr, Garland, TX 75043-5920 | 2017-06-22 |
| 1356870620 | Brad Taylor Landrum | Family Medicine | 601 Clara Barton Blvd., Suite 340, Garland, TX 75042 | 2017-06-08 |
| 1194179580 | Kai-soon Yang | Family Medicine | 4430 Lavon Dr Ste 350, Garland, TX 75040-2976 | 2016-04-21 |
| 1407286040 | Rose Garden Housecall Services, LLC | Family Medicine | 829 Villa Ridge Dr, Garland, TX 75043-2660 | 2013-11-18 |
| 1265704779 | Medical Billing Usa | Family Medicine | 4141 Easton Meadows Dr, 202, Garland, TX 75043-2048 | 2012-01-30 |
| 1417243247 | Chene Tamyron Smith | Family Medicine | 5345 N George Bush Hwy, Garland, TX 75040-2767 | 2011-06-20 |
| 1649596396 | The Medical Equipment Group, Inc. | Family Medicine | 5915 Murphy Rd Ste 100, Garland, TX 75048-2825 | 2010-04-19 |
| Find all providers in GARLAND | ||||
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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.