Christopher James Clark, DO | |
314 N Franklin St, Bastrop, LA 71220-3846 | |
(318) 283-8887 | |
(318) 281-6339 |
Full Name | Christopher James Clark |
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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 |
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207Q00000X | Family Medicine | 326968 (Louisiana) | Primary |
Entity Name | Morehouse Community Medical Centers Inc |
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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 |
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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 |
Ms. Alexis Jones, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 9110 Redwood Dr, Bastrop, LA 71220 Phone: 318-953-0330 | |
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 | |
David Hibbets, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 314 N Franklin St, Bastrop, LA 71220 Phone: 318-283-8887 | |
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 |