| Christopher James Clark, DO | |
|
314 N Franklin St, Bastrop, LA 71220-3846 | |
| (318) 283-8887 | |
| (318) 281-6339 |
| Full Name | Christopher James Clark |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 314 N Franklin St, Bastrop, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194286955 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 326968 (Louisiana) | Primary |
| Entity Name | Morehouse Community Medical Centers, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053373191 PECOS PAC ID: 1254343593 Enrollment ID: O20060703000063 |
| Mailing Address | Practice Location Address |
|---|---|
| Christopher James Clark, DO Po Box 792, Bastrop, LA 71221-0792 Ph: (318) 283-8887 | Christopher James Clark, DO 314 N Franklin St, Bastrop, LA 71220-3846 Ph: (318) 283-8887 |
Tahir M Qayyum, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 540 Durham St, Bastrop, LA 71220 Phone: 318-283-2200 Fax: 318-283-1200 | |
Daniel A Trejo, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 430 S Vine St, Bastrop, LA 71220 Phone: 318-283-3970 | |
James M. Smith, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 532 S Washington St, Bastrop, LA 71220 Phone: 318-283-3965 Fax: 318-239-8965 | |
Dr. Jack Cole Noble, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 355 W Hickory Ave, Bastrop, LA 71220 Phone: 318-281-4450 Fax: 318-281-4464 | |
Cierra January, FNP Family Medicine Medicare: Medicare Enrolled Practice Location: 314 N. Franklin Street, Bastrop, LA 71221 Phone: 318-283-8887 Fax: 318-281-6339 | |
Andy V. Tran, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 365 W Hickory Ave, Bastrop, LA 71220 Phone: 318-283-5999 Fax: 318-283-7998 |