| Edward Clark, LVN, LPN | |
|
6600 E Ben White Blvd, Austin, TX 78741-7537 | |
| (512) 804-3740 | |
| Not Available |
| Full Name | Edward Clark |
|---|---|
| Gender | Male |
| Speciality | Licensed Vocational Nurse |
| Location | 6600 E Ben White Blvd, Austin, Texas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033638424 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 200930549LPN (Oregon) | Secondary |
| 164X00000X | Licensed Vocational Nurse | 331536 (Texas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Edward Clark, LVN, LPN 1430 Collier St, Austin, TX 78704-2911 Ph: (512) 472-4357 | Edward Clark, LVN, LPN 6600 E Ben White Blvd, Austin, TX 78741-7537 Ph: (512) 804-3740 |
Terry James Wilson, LVN Licensed Vocational Nurse Medicare: Not Enrolled in Medicare Practice Location: 12118 Walnut Park Xing, 1212, Austin, TX 78753 Phone: 512-704-3464 | |
Emily Grace Horne, Licensed Vocational Nurse Medicare: Not Enrolled in Medicare Practice Location: 8200 N Mopac Expy Ste 285, Austin, TX 78759 Phone: 512-996-9559 | |
Mrs. Thelma Josephine Gibson, LVN Licensed Vocational Nurse Medicare: Not Enrolled in Medicare Practice Location: 918 E 32nd St, Austin, TX 78705 Phone: 512-544-8195 Fax: 512-404-8285 | |
Anastacia Erebia, Licensed Vocational Nurse Medicare: Not Enrolled in Medicare Practice Location: 6600 E. Ben White Blvd, Austin, TX 78741 Phone: 512-472-4357 | |
Jay Eldon Powell, Licensed Vocational Nurse Medicare: Not Enrolled in Medicare Practice Location: 13915 Burnet Rd Ste 303, Austin, TX 78728 Phone: 512-996-9559 | |
Stanley Ndukamma, LVN Licensed Vocational Nurse Medicare: Not Enrolled in Medicare Practice Location: 1430 Collier St, Austin, TX 78704 Phone: 512-472-4357 | |
Chenita Ann Elliott, LVN Licensed Vocational Nurse Medicare: Not Enrolled in Medicare Practice Location: 13915 Burnet Rd Ste 303, Austin, TX 78728 Phone: 512-996-9559 |