Joseph L Clark Iv (NPI# 1467776484, PAC ID# 3173776580) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1467776484 |
| PAC ID by PECOS | 3173776580 |
| Professional Enrollment ID | I20130116000138 |
| Full Name | Joseph L Clark Iv |
| Address |
618 Oak St Graham TX 76450-3040 |
| Gender | M |
| Graduation Year | 2009 |
| Primary Specialty | NURSE PRACTITIONER |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450085 | GRAHAM REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 618 Oak St, Graham, TX 76450-3040 | ||
| 400 Sw 25th Ave, Mineral Wells, TX 76067-8246 | 9403257891 | CONCORD MEDICAL GROUP OF TEXAS PLLC |
| Street Address |
618 OAK ST |
| City | GRAHAM |
| State | TX |
| Zip | 76450-3040 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bruce Wayne Howell | Optometry | Graham Eye Care LLC | 2200 Hwy 16 S, Graham, TX 76450-2901 |
| Courtney D Perry | Optometry | Graham Eye Care LLC | 2200 Hwy 16 S, Graham, TX 76450-2901 |
| Victoria Clarke Keller | Physical Therapy | Thrive Physical Therapy, LLC | 519 Elm St, Graham, TX 76450-3037 |
| Julvie Shayne Mojar Andrino | Physical Therapy | Thrive Physical Therapy, LLC | 519 Elm St, Graham, TX 76450-3037 |
| Ashley A Stewart | Nurse Practitioner | 602 Oak St, Graham, TX 76450-3040 | |
| Cathy C. Gresham | Nurse Practitioner | 602 Oak St, Graham, TX 76450-3040 | |
| Kelsie Berend | Occupational Therapy | 701 Oak St, Suite C, Graham, TX 76450-3073 | |
| Julie D Erb | Occupational Therapy | 701 Oak St C, Graham, TX 76450-3073 | |
| Christa Cretors | Physical Therapy | 701 Oak St, Suite C, Graham, TX 76450-3073 | |
| Mindy Ash | Speech Language Pathologist | Completespeech, Pllc | 701 Oak St, Graham, TX 76450-3073 |
| Find all physicians in zip 76450 | |||
| City | GRAHAM |
| Zip Code | 76450 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | GRAHAM + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Joseph L Clark Iv.
| 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.