| Alan S Clark, MD | |
|
1612 S Henderson Blvd, Kilgore, TX 75662-3518 | |
| (903) 984-3505 | |
| Not Available |
| Full Name | Alan S Clark |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 29 Years |
| Location | 1612 S Henderson Blvd, Kilgore, Texas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053351254 | NPI | - | NPPES |
| 0002KL | Other | TX | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | K5489 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Covenant Hospital Levelland | Levelland, TX | Hospital |
| Golden Plains Community Hospital | Borger, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ess Of Port Lavaca Llc | 2769766005 | 18 |
| Emergency Staffing Solutions Of West Texas Llc | 7113237868 | 6 |
| Ess Of South Texas Llc | 9739491176 | 7 |
| Entity Name | Lavaca Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245274471 PECOS PAC ID: 1153211750 Enrollment ID: O20040317001233 |
| Entity Name | Seminole Hospital District Of Gaines County Texas |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821025990 PECOS PAC ID: 2668382516 Enrollment ID: O20040428000104 |
| Entity Name | Concord Medical Group Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083630610 PECOS PAC ID: 0446296818 Enrollment ID: O20050707000531 |
| Entity Name | Texas Medicine Resources, Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376581900 PECOS PAC ID: 5890688212 Enrollment ID: O20130702000785 |
| Entity Name | Concord Medical Group Of Texas Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750790762 PECOS PAC ID: 7810117223 Enrollment ID: O20141007002567 |
| Entity Name | Ess Of South Texas Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295128247 PECOS PAC ID: 9739491176 Enrollment ID: O20150629000248 |
| Entity Name | Emergency Staffing Solutions Of West Texas Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033593504 PECOS PAC ID: 7113237868 Enrollment ID: O20151109000839 |
| Entity Name | Ess Of Port Lavaca Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922546936 PECOS PAC ID: 2769766005 Enrollment ID: O20170303001868 |
| Entity Name | Ess Of Crockett, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649988635 PECOS PAC ID: 3678942778 Enrollment ID: O20221213000258 |
| Mailing Address | Practice Location Address |
|---|---|
| Alan S Clark, MD Po Box 8549, Fort Worth, TX 76124-0549 Ph: (817) 451-4208 | Alan S Clark, MD 1612 S Henderson Blvd, Kilgore, TX 75662-3518 Ph: (903) 984-3505 |
Eulogio Bonsukan, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1612 S Henderson Blvd, Kilgore, TX 75662 Phone: 903-984-3505 | |
Paul A Grant Jr, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1612 S Henderson Blvd, Kilgore, TX 75662 Phone: 903-984-3505 | |
Dr. Michael Mcshan, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1711 S Henderson Blvd, Suite 100, Kilgore, TX 75662 Phone: 903-315-3800 Fax: 903-984-5367 |