| Mr Earl E Clark, PAC | |
|
1717 Highway 59 Loop N, Livingston, TX 77351-5703 | |
| (936) 329-8500 | |
| Not Available |
| Full Name | Mr Earl E Clark |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 1717 Highway 59 Loop N, Livingston, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861565046 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA00503 (Texas) | Primary |
| Entity Name | D & F Med, PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114149671 PECOS PAC ID: 6507774668 Enrollment ID: O20041109000806 |
| Entity Name | Merci, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528413820 PECOS PAC ID: 2769750967 Enrollment ID: O20171205002559 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Earl E Clark, PAC 111 Westchester St, Lufkin, TX 75901-7357 Ph: (936) 633-0606 | Mr Earl E Clark, PAC 1717 Highway 59 Loop N, Livingston, TX 77351-5703 Ph: (936) 329-8500 |
Mr. Louis Irvin Ambeaux Jr., P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 604 S Washington Ave, Livingston, TX 77351 Phone: 936-328-8944 |
Mrs. Susan R Manuel, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 309 Hwy 59 S. Loop, Livingston, TX 77351 Phone: 281-659-2355 Fax: 281-592-1570 |
Ms. Jennifer R Livingston, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 309 Hwy 59 S. Loop, Livingston, TX 77351 Phone: 281-659-2355 Fax: 281-592-1570 |
Lauren De'an Conner, P.A.-C. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 210 W Park Ste 106, Livingston, TX 77351 Phone: 936-262-7161 Fax: 936-262-7152 |
Jean R Bybee, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 210 W Park Ste 104, Livingston, TX 77351 Phone: 936-328-5820 Fax: 936-328-5824 |
Kantrell Raishanda Harris, P.A.- C. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 309 Highway 59 Loop S, Livingston, TX 77352 Phone: 936-327-1055 |