Elizabeth P Clark (NPI# 1134195993, PAC ID# 7719030907) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1134195993 |
| PAC ID by PECOS | 7719030907 |
| Professional Enrollment ID | I20090805000737 |
| Full Name | Elizabeth P Clark |
| Organization Legal Name | PRO-CARE SPINE CENTER, LLC |
| Address |
9727 Poteet Jourdanton Fwy Suite 101 San Antonio TX 78211-4575 |
| Phone Number | 2108810630 |
| Gender | F |
| Medical School | UNIVERSITY OF HEALTH SCIENCES/CHICAGO MEDICAL SCHOOL |
| Graduation Year | 1987 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 9234109372 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1015 W 39, Austin, TX 78756 | 5123717478 | PRO-CARE SPINE CENTER, LLC |
| 9502 Huebner Rd, Suite 102, San Antonio, TX 78240-1684 | 2108810630 | PRO-CARE SPINE CENTER, LLC |
| 9727 Poteet Jourdanton Fwy, Suite 101, San Antonio, TX 78211-4575 | 2108810630 | PRO-CARE SPINE CENTER, LLC |
| Organization Legal Name | PRO-CARE SPINE CENTER, LLC |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel L Rasor | Family Medicine | Pro-care Spine Center, LLC | 1015 W 39, Austin, TX 78756 |
| Neil Odom Boecking | Chiropractic | Pro-care Spine Center, LLC | 9502 Huebner Rd, Suite 102, San Antonio, TX 78240-1684 |
| Raquel Crystal Lopez | Chiropractic | Pro-care Spine Center, LLC | 9727 Poteet Jourdanton Fwy, Suite 101, San Antonio, TX 78211-4575 |
| Kyle Jay Campbell | Chiropractic | Pro-care Spine Center, LLC | 9502 Huebner Rd, Suite 102, San Antonio, TX 78240-1684 |
| Dean H Rushing | Chiropractic | Pro-care Spine Center, LLC | 1015 W 39, Austin, TX 78756 |
| Casey Parker Hays | Chiropractic | Pro-care Spine Center, LLC | 701 E Whitestone Blvd, Suite 100, Cedar Park, TX 78613-6945 |
| Kevin D Kanz | Chiropractic | Pro-care Spine Center, LLC | 1015 W 39, Austin, TX 78756 |
| Joseph Mathew Mitchell | Nurse Practitioner | Pro-care Spine Center, LLC | 9502 Huebner Rd, Suite 102, San Antonio, TX 78240-1684 |
| Jill E Heytens | Neurology | Pro-care Spine Center, LLC | 1015 W 39, Austin, TX 78756 |
| William Matthew Ursprung | Chiropractic | Pro-care Spine Center, LLC | 1015 W 39, Austin, TX 78756 |
| Street Address |
9727 POTEET JOURDANTON FWY SUITE 101 |
| City | SAN ANTONIO |
| State | TX |
| Zip | 78211-4575 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Laura A Galindo | Nurse Practitioner | Mcci of Texas Primary Care Group, Pllc | 9727 Poteet Jourdanton Fwy, Suite 108, San Antonio, TX 78211-4575 |
| Cynthia Gneco Wilamo | Internal Medicine | Mcci of Texas Primary Care Group, Pllc | 9727 Poteet Jourdanton Fwy, Suite 108, San Antonio, TX 78211-4575 |
| Raquel Crystal Lopez | Chiropractic | Pro-care Spine Center, LLC | 9727 Poteet Jourdanton Fwy, Suite 101, San Antonio, TX 78211-4575 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ernest W Prince | Nurse Practitioner | Community Medicine Associates | 4503 S Zarzamora St, Zarzamora Clinic, San Antonio, TX 78211-1207 |
| Gloria Tijerina | Clinical Social Worker | 2483 W Southcross Blvd, Gloria Tijerina Lcsw, San Antonio, TX 78211-1868 | |
| Alma L Aguado | Internal Medicine | 1445 Somerset Rd, Suite 1, San Antonio, TX 78211-3007 | |
| Ernesto O Parra | Family Medicine | El Centro Del Barrio, Inc. | 6315 S Zarzamora St, San Antonio, TX 78211-3218 |
| Cynthia Z Mazuca | Clinical Social Worker | El Centro Del Barrio, Inc. | 6315 S Zarzamora St, San Antonio, TX 78211-3218 |
| Hanaa Farid Haleen Girgis | Family Medicine | El Centro Del Barrio, Inc. | 6315 S Zarzamora St, San Antonio, TX 78211-3218 |
| Adriana Uribe | Podiatry | El Centro Del Barrio, Inc. | 6315 S Zarzamora St, San Antonio, TX 78211-3218 |
| Spencer R Lewis | Family Medicine | El Centro Del Barrio, Inc. | 6315 S Zarzamora St, San Antonio, TX 78211-3218 |
| Andrea R Kephart | Clinical Social Worker | El Centro Del Barrio, Inc. | 6315 S Zarzamora St, San Antonio, TX 78211-3218 |
| Christian J Santiago-matos | Obstetrics/gynecology | El Centro Del Barrio, Inc. | 6315 S Zarzamora St, San Antonio, TX 78211-3218 |
| Find all physicians in zip 78211 | |||
| City | SAN ANTONIO |
| Zip Code | 78211 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | SAN ANTONIO + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Elizabeth P 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.