Terri Clark (NPI# 1770035966, PAC ID# 8527340637) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1770035966 |
| PAC ID by PECOS | 8527340637 |
| Professional Enrollment ID | I20170126000046 |
| Full Name | Terri Clark |
| Organization Legal Name | DIAGNOSTIC GROUP INTEGRATED HEALTHCARE SYSTEM, PLLC |
| Address |
2353 N Main St Diag Grp Vidor Fam Clin Vidor TX 77662-2610 |
| Phone Number | 4098131677 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 1557506383 |
| Number of Group Practice Members | 21 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2353 N Main St, Diag Grp Vidor Fam Clin, Vidor, TX 77662-2610 | 4098131677 | DIAGNOSTIC GROUP INTEGRATED HEALTHCARE SYSTEM, PLLC |
| Organization Legal Name | DIAGNOSTIC GROUP INTEGRATED HEALTHCARE SYSTEM, PLLC |
| Physicians | 29 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Chasity Parsons | Nurse Practitioner | Diagnostic Group Integrated Healthcare System, Pllc | 288 Country Lane Dr, Lumberton, TX 77657-6804 |
| Madhuri Adabala | Internal Medicine | Diagnostic Group Integrated Healthcare System, Pllc | 3406 College St, Suite 100, Beaumont, TX 77701-4612 |
| Lacin Stansbury | Nurse Practitioner | Diagnostic Group Integrated Healthcare System, Pllc | 2200 Hwy 365, Nederland, TX 77627-5506 |
| Melissa Sue Riedinger | Nurse Practitioner | Diagnostic Group Integrated Healthcare System, Pllc | 1255 Hwy 327 E, Silsbee, TX 77656-6007 |
| Christine S Jackson | Nurse Practitioner | Diagnostic Group Integrated Healthcare System, Pllc | 3480 College St, Beaumont, TX 77701-4612 |
| Leslie Alan Goodman | Rheumatology | Diagnostic Group Integrated Healthcare System, Pllc | 3282 College St, Beaumont, TX 77701-4610 |
| Carlos Samuel Morales Garcia | General Surgery | Diagnostic Group Integrated Healthcare System, Pllc | 3406 College St, Beaumont, TX 77701-4612 |
| Keith B Stout | Family Medicine | Diagnostic Group Integrated Healthcare System, Pllc | 3406 College St, Suite 100, Beaumont, TX 77701-4612 |
| Lawrence Sanders | Family Medicine | Diagnostic Group Integrated Healthcare System, Pllc | 3406 College St, Suite 100, Beaumont, TX 77701-4612 |
| Alex Ordonez | General Surgery | Diagnostic Group Integrated Healthcare System, Pllc | 3406 College St, Beaumont, TX 77701-4612 |
| Street Address |
2353 N MAIN ST DIAG GRP VIDOR FAM CLIN |
| City | VIDOR |
| State | TX |
| Zip | 77662-2610 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Suhani M Bhakta | Family Medicine | Diagnostic Group Integrated Healthcare System, Pllc | 2353 N Main St, Diag Grp Vidor Fam Clin, Vidor, TX 77662-2610 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jason M Holmes | Chiropractic | 2612 N Main, Vidor, TX 77662-2674 | |
| Shannon R Boyer | Psychologist, Clinical | Senior Psychological Care I LLC | 470 Moore Dr, Vidor, TX 77662-3843 |
| Duncan G Bowell | Family Medicine | 1091 N Main St, B, Vidor, TX 77662-4360 | |
| Brooke Ann Manuel | Nurse Practitioner | Winnie Community Hospital LLC | 515 S Archie St, Riceland Clinic Vidor, Vidor, TX 77662-4868 |
| James L Slayton Jr. | Internal Medicine | Winnie Community Hospital LLC | 515 S Archie St, Riceland Clinic Vidor, Vidor, TX 77662-4868 |
| Sei C Oh | General Practice | Winnie Community Hospital, LLC | 515 S Archie St, Vidor, TX 77662-4868 |
| Christopher E Quirante | Physician Assistant | Michael K Crossley, M D P A | 395 N Main St, Vidor, TX 77662-4935 |
| Michael K Crossley | Emergency Medicine | Michael K Crossley, M D P A | 395 N Main St, Vidor, TX 77662-4935 |
| Waylon C Bergeron | Nurse Practitioner | Psychiatric Services of Houston and Associates I, Pllc | 225 S Main St, Oakwood Manor Nursing Home, Vidor, TX 77662-5745 |
| City | VIDOR |
| Zip Code | 77662 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | VIDOR + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Terri 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.