Dr Paul Clark, DO | |
3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 | |
(210) 539-0784 | |
Not Available |
Full Name | Dr Paul Clark |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 20 Years |
Location | 3551 Roger Brooke Dr, Fort Sam Houston, 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 |
---|---|---|---|
1225052467 | NPI | - | NPPES |
1225052467 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 0102202652 (Virginia) | Secondary |
2085P0229X | Radiology - Pediatric Radiology | 0102202652 (Virginia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Jordan Valley Medical Center | West jordan, UT | Hospital |
Moab Regional Hospital | Moab, UT | Hospital |
Davis Hospital And Medical Center | Layton, UT | Hospital |
Kane County Hospital | Kanab, UT | Hospital |
Gunnison Valley Hospital | Gunnison, UT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mountain Medical Physician Specialists Pc | 5294639407 | 32 |
Entity Name | University Of Texas Health Science Center At San Antonio |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720051717 PECOS PAC ID: 0042128548 Enrollment ID: O20040607000664 |
Entity Name | Mountain Medical Physician Specialists Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720035520 PECOS PAC ID: 5294639407 Enrollment ID: O20190606001153 |
Mailing Address | Practice Location Address |
---|---|
Dr Paul Clark, DO 3551 Roger Brooke Dr, San Antonio, TX 78234-4504 Ph: (571) 409-0055 | Dr Paul Clark, DO 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 Ph: (210) 539-0784 |
Dr. Michael Day Dullea, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 3851 Roger Brooke Dr, Mche-qd (credentials), Fort Sam Houston, TX 78234 Phone: 210-916-5046 | |
Dr. Francis Joseph Cloran, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-916-4218 | |
Dr. Jayanta Krishna Chaudhuri, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-539-9582 | |
Dr. Anthony Wayne Allen, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 3851 Roger Brooke Dr, Brooke Army Medical Center Mche-qd/credentials, Fort Sam Houston, TX 78234 Phone: 210-916-3573 | |
Dr. Aaron Jackson, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: Bamc- 3851 Roger Brooke Drive, Mche-qd, Fort Sam Houston, TX 78234 Phone: 210-916-2460 | |
Dr. Shane Blake Anderson, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3551 Roger Brooke Dr, Brooke Army Medical Center, Fort Sam Houston, TX 78234 Phone: 210-916-4062 | |
Dr. Lisa M. Livingston, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-916-4218 |