| David J Clark, CRNA | |
|
1072 E Los Ebanos Blvd, Brownsville, TX 78520-9988 | |
| (956) 541-1278 | |
| (956) 541-2854 |
| Full Name | David J Clark |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 34 Years |
| Location | 1072 E Los Ebanos Blvd, Brownsville, 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 |
|---|---|---|---|
| 1609890607 | NPI | - | NPPES |
| 006838903 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 539933 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Montgomery County Memorial Hospital | Red oak, IA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Montgomery County Memorial Hospital | 9032015805 | 36 |
| Entity Name | St Anthony Regional Hospital And Nursing Home |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801815972 PECOS PAC ID: 4688586829 Enrollment ID: O20031105000218 |
| Entity Name | Montgomery County Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265405310 PECOS PAC ID: 9032015805 Enrollment ID: O20031211000423 |
| Entity Name | Greater Regional Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902805062 PECOS PAC ID: 9234041013 Enrollment ID: O20040205000926 |
| Entity Name | Shelby County Chris A Myrtue Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922184175 PECOS PAC ID: 5193619393 Enrollment ID: O20040210000133 |
| Entity Name | Humboldt County Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043395247 PECOS PAC ID: 8921997867 Enrollment ID: O20040310001518 |
| Entity Name | Montgomery County Memorial Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1376539338 PECOS PAC ID: 9032015805 Enrollment ID: O20061104000347 |
| Entity Name | Humboldt County Memorial Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1194702977 PECOS PAC ID: 8921997867 Enrollment ID: O20061104000355 |
| Entity Name | Mercy Medical Center New Hampton |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1770651515 PECOS PAC ID: 9032006325 Enrollment ID: O20070718000690 |
| Mailing Address | Practice Location Address |
|---|---|
| David J Clark, CRNA Po Box 3687, Brownsville, TX 78523-3687 Ph: (956) 541-1278 | David J Clark, CRNA 1072 E Los Ebanos Blvd, Brownsville, TX 78520-9988 Ph: (956) 541-1278 |
Frances L Crouse, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 100 E Alton Gloor Blvd, Brownsville, TX 78526 Phone: 956-541-1278 Fax: 956-541-2854 | |
Frank R Micielli, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1040 W Jefferson St, Brownsville, TX 78520 Phone: 956-698-5400 Fax: 956-698-5713 | |
Mary E Weathers, C.R.N.A. Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1072 E Los Ebanos Blvd, Brownsville, TX 78520 Phone: 956-541-1278 Fax: 956-541-2854 | |
Julio Mckee, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 133 Country Club Rd, Brownsville, TX 78520 Phone: 956-541-9260 | |
Bella Luz M Amor, C.R.N.A. Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1072 E Los Ebanos Blvd, Brownsville, TX 78520 Phone: 956-541-1278 Fax: 956-541-2854 | |
Weldon S Henderson, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4750 N Expressway, Brownsville, TX 78526 Phone: 956-554-2014 Fax: 956-554-2001 | |
Ms. Kimberley Kay Towne, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1366 Squaw Valley Dr, Unit B, Brownsville, TX 78520 Phone: 918-231-1939 |