Gary D. Clark (NPI# 1013097450, PAC ID# 1153656541) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEUROLOGY.
| Nation Provider ID (NPI) | 1013097450 |
| PAC ID by PECOS | 1153656541 |
| Professional Enrollment ID | I20190708000984 |
| Full Name | Gary D. Clark |
| Organization Legal Name | TEXAS CHILDRENS PHYSICIAN GROUP |
| Address |
8611 N Mopac Expy Austin Mopac Centre Austin TX 78759-8319 |
| Phone Number | 8328241000 |
| Gender | M |
| Medical School | LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS |
| Graduation Year | 1982 |
| Primary Specialty | NEUROLOGY |
| Group Practice PAC ID | 4385722081 |
| Number of Group Practice Members | 247 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 453304 | TEXAS CHILDRENS HOSP |
| Address | Phone | Organization |
|---|---|---|
| 8611 N Mopac Expy, Austin Mopac Centre, Austin, TX 78759-8319 | 8328241000 | TEXAS CHILDRENS PHYSICIAN GROUP |
| Organization Legal Name | TEXAS CHILDRENS PHYSICIAN GROUP |
| Physicians | 393 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dalia M Moghazy | Obstetrics/gynecology | Texas Childrens Physician Group | 6651 Main St, Suite F320, Houston, TX 77030-2353 |
| Javier Chinen | Pediatric Medicine | Texas Childrens Physician Group | 6701 Fannin St, Houston, TX 77030-2608 |
| Mark V Mazziotti | General Surgery | Texas Childrens Physician Group | 4015 22nd Pl, Lubbock, TX 79410-1119 |
| Ronald A Rauch | Diagnostic Radiology | Texas Childrens Physician Group | 6701 Fannin St, Houston, TX 77030-2608 |
| Lauren S Blieden | Ophthalmology | Texas Childrens Physician Group | 6701 Fannin St, Houston, TX 77030-2608 |
| David E Zepeda | Obstetrics/gynecology | Texas Childrens Physician Group | 6651 Main St, Suite F320, Houston, TX 77030-2353 |
| Silvana M Molossi | Cardiovascular Disease (cardiology) | Texas Childrens Physician Group | 8611 N Mopac Expy, Austin Mopac Centre, Austin, TX 78759-8319 |
| Shweta Shah | Nephrology | Texas Childrens Physician Group | 6701 Fannin St, Houston, TX 77030-2608 |
| Ayse Akcan Arikan | Critical Care (intensivists) | Texas Childrens Physician Group | 6701 Fannin St, Houston, TX 77030-2608 |
| Jennifer Dietrich | Obstetrics/gynecology | Texas Childrens Physician Group | 6701 Fannin St, Houston, TX 77030-2608 |
| Street Address |
8611 N MOPAC EXPY AUSTIN MOPAC CENTRE |
| City | AUSTIN |
| State | TX |
| Zip | 78759-8319 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Silvana M Molossi | Cardiovascular Disease (cardiology) | Texas Childrens Physician Group | 8611 N Mopac Expy, Austin Mopac Centre, Austin, TX 78759-8319 |
| Santiago O Valdes | Pediatric Medicine | Texas Childrens Physician Group | 8611 N Mopac Expy, Austin Mopac Centre, Austin, TX 78759-8319 |
| Richard M Braverman | Diagnostic Radiology | Texas Childrens Physician Group | 8611 N Mopac Expy, Austin Mopac Centre, Austin, TX 78759-8319 |
| Lynn Suzanne Carlson | Diagnostic Radiology | Texas Childrens Physician Group | 8611 N Mopac Expy, Austin Mopac Centre, Austin, TX 78759-8319 |
| Siddharth P Jadhav | Diagnostic Radiology | Texas Childrens Physician Group | 8611 N Mopac Expy, Austin Mopac Centre, Austin, TX 78759-8319 |
| Jeffrey J Kim | Cardiovascular Disease (cardiology) | Texas Childrens Physician Group | 8611 N Mopac Expy, Austin Mopac Centre, Austin, TX 78759-8319 |
| Christina Yumi Miyake | Pediatric Medicine | Texas Childrens Physician Group | 8611 N Mopac Expy, Austin Mopac Centre, Austin, TX 78759-8319 |
| Robert Harrison Tillman | Pediatric Medicine | Texas Childrens Physician Group | 8611 N Mopac Expy, Austin Mopac Centre, Austin, TX 78759-8319 |
| Robert P Guillerman | Diagnostic Radiology | Texas Childrens Physician Group | 8611 N Mopac Expy, Austin Mopac Centre, Austin, TX 78759-8319 |
| Nadia F Mahmood | Diagnostic Radiology | Texas Childrens Physician Group | 8611 N Mopac Expy, Austin Mopac Centre, Austin, TX 78759-8319 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michele K Gerard | Chiropractic | 4131 Spicewood Springs, Suite L 3, Austin, TX 78759 | |
| Joanna K Meley | Nurse Practitioner | Rediclinic Austin LLC | 11521 Ranch Rd 620, Rediclinic, Austin, TX 78759-1139 |
| John W Kok | Chiropractic | 12593 Research Blvd, Suite 205, Austin, TX 78759-2214 | |
| William D Holmes | Psychiatry | 12515 Research Blvd, Suite 400, Austin, TX 78759-2228 | |
| John D Odette | Ophthalmology | Austin Eye Clinic Association | 11901 Jollyville Rd, Austin, TX 78759-2303 |
| Marie Thanh-thao Bui | Ophthalmology | Austin Eye Clinic Association | 11901 Jollyville Rd, Austin, TX 78759-2303 |
| Whitney Gail Cansler | Optometry | Austin Eye Clinic Association | 11901 Jollyville Rd, Austin, TX 78759-2303 |
| Shannon M Wong | Ophthalmology | Austin Eye Clinic Association | 11901 Jollyville Rd, Austin, TX 78759-2303 |
| Mitchel Wong | Ophthalmology | Austin Eye Clinic Association | 11901 Jollyville Rd, Austin, TX 78759-2303 |
| Gilan Levy | Clinical Social Worker | Shalom Austin | 11940 Jollyville Rd, Suite 110, Austin, TX 78759-2327 |
| Find all physicians in zip 78759 | |||
| City | AUSTIN |
| Zip Code | 78759 |
| Specialty | NEUROLOGY |
| City + Specialty | AUSTIN + NEUROLOGY |
Please comment or provide details below to improve the information on Gary D. Clark.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.