Edward Clark (NPI# 1730294232, PAC ID# 1658661525) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1730294232 |
| PAC ID by PECOS | 1658661525 |
| Professional Enrollment ID | I20160606000494 |
| Full Name | Edward Clark |
| Organization Legal Name | OBHG TEXAS HOLDINGS PA |
| Address |
9440 Poppy Dr Dallas TX 75218-3652 |
| Phone Number | 8009672289 |
| Gender | M |
| Medical School | UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE |
| Graduation Year | 1995 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 3577713072 |
| Number of Group Practice Members | 83 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 9440 Poppy Dr, Dallas, TX 75218-3652 | 8009672289 | OBHG TEXAS HOLDINGS PA |
| 1600 11th St, Wichita Falls, TX 76301-4300 | 8009672289 | OBHG TEXAS HOLDINGS PA |
| Organization Legal Name | OBHG TEXAS HOLDINGS PA |
| Physicians | 108 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrew Davis | Obstetrics/gynecology | Obhg Texas Holdings Pa | 520 Madison Oak Dr, San Antonio, TX 78258-3913 |
| Christen S Leaf | Obstetrics/gynecology | Obhg Texas Holdings Pa | 1400 8th Ave, Fort Worth, TX 76104-4110 |
| Theresa O Castillo | Obstetrics/gynecology | Obhg Texas Holdings Pa | 4401 Garth Rd, Baytown, TX 77521-2122 |
| Sreedhar R Tallapureddy | Obstetrics/gynecology | Obhg Texas Holdings Pa | 2600 Saint Michael Dr, Texarkana, TX 75503-5220 |
| Bernard A Lynch | Obstetrics/gynecology | Obhg Texas Holdings Pa | 7700 Floyd Curl Dr, San Antonio, TX 78229-3902 |
| George M Kingsley Iii | Obstetrics/gynecology | Obhg Texas Holdings Pa | 2001 N Oregon St, El Paso, TX 79902-3320 |
| Amelia Cleveland-traylor | Obstetrics/gynecology | Obhg Texas Holdings Pa | 1310 Mccullough Ave, San Antonio, TX 78212-5601 |
| Danielle Frances Duquette | Certified Nurse Midwife (cnm) | Obhg Texas Holdings Pa | 12221 N Mopac Expressway, Austin, TX 78758-6819 |
| Kathryn K Randall | Obstetrics/gynecology | Obhg Texas Holdings Pa | 2001 N Oregon St, El Paso, TX 79902-3320 |
| Crystal Kelly | Obstetrics/gynecology | Obhg Texas Holdings Pa | 901 N Ben White Blvd, Austin, TX 78704-6903 |
| Street Address |
9440 POPPY DR |
| City | DALLAS |
| State | TX |
| Zip | 75218-3652 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Renjie M Li | Emergency Medicine | Kingston Emergency Physicians Medical Group Pllc | 9440 Poppy Dr, Dallas, TX 75218-3652 |
| Quyen N Stipe | Certified Registered Nurse Anesthetist (crna) | Main Street Anesthesia of Texas Pa | 9440 Poppy Dr, Dallas, TX 75218-3652 |
| Chantelle P Cook | Nurse Practitioner | Kingston Emergency Physicians Medical Group Pllc | 9440 Poppy Dr, Dallas, TX 75218-3652 |
| Melissa A Buessing | Emergency Medicine | Kingston Emergency Physicians Medical Group Pllc | 9440 Poppy Dr, Dallas, TX 75218-3652 |
| Aimel Azizi | Internal Medicine | Canyon Oaks Hospitalist Medical Group Pllc | 9440 Poppy Dr, Dallas, TX 75218-3652 |
| Lin S Du | Emergency Medicine | Kingston Emergency Physicians Medical Group Pllc | 9440 Poppy Dr, Dallas, TX 75218-3652 |
| Sharon S Greer | Nurse Practitioner | Kingston Emergency Physicians Medical Group Pllc | 9440 Poppy Dr, Dallas, TX 75218-3652 |
| Jana L Sulzer | Diagnostic Radiology | Singleton Associates Pa | 9440 Poppy Dr, Dallas, TX 75218-3652 |
| Ryan Matthew Ehle | Emergency Medicine | Kingston Emergency Physicians Medical Group Pllc | 9440 Poppy Dr, Dallas, TX 75218-3652 |
| Jeremy Shane Bison | Certified Registered Nurse Anesthetist (crna) | Main Street Anesthesia of Texas Pa | 9440 Poppy Dr, Dallas, TX 75218-3652 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer E Aldrich | Family Medicine | 11411 E Northwest Hwy, Suite 120, Dallas, TX 75218-0323 | |
| Sylvia Heck | Physical Therapy | 11037 Ridgemeadow Dr, Dallas, TX 75218-1214 | |
| Ricky Lee Hanks | Chiropractic | 11411e Northwest Hwy 107, Dallas, TX 75218-1442 | |
| Muzzaffar Hussain | Internal Medicine | Kidney Care of Dallas Pllc | 10611 Garland Rd, Suite 105, Dallas, TX 75218-2680 |
| Richard T May | Ophthalmology | 10611 Garland Rd, Suite 113, Dallas, TX 75218-2685 | |
| Corazon L Llarena | Internal Medicine | 10611 Garland Rd, Suite 114, Dallas, TX 75218-2686 | |
| William Wylie Howell | Chiropractic | 10611 Garland Rd, Suite 115, Dallas, TX 75218-2688 | |
| Elizabeth T Dolan | Dermatology | Elizabeth T Dolan, Md Pa | 10611 Garland Rd, Suite 210, Dallas, TX 75218-2695 |
| Christy C Riddle | Dermatology | Elizabeth T Dolan, Md Pa | 10611 Garland Rd, Suite 210, Dallas, TX 75218-2695 |
| Sonak B Daulat | Allergy/immunology | 10216 Garland Rd A, Dallas, TX 75218-2921 | |
| Find all physicians in zip 75218 | |||
| City | DALLAS |
| Zip Code | 75218 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | DALLAS + OBSTETRICS/GYNECOLOGY |
Please comment or provide details below to improve the information on Edward 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.