Dr Charles B Clark Iii, MD | |
6025 Metropolitan Dr, Suite 205, Beaumont, TX 77706-2408 | |
(409) 899-4999 | |
(409) 899-3978 |
Full Name | Dr Charles B Clark Iii |
---|---|
Gender | Male |
Speciality | Neurological Surgery |
Location | 6025 Metropolitan Dr, Beaumont, Texas |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770689358 | NPI | - | NPPES |
0981946-01 | Medicaid | TX | |
359865 | Other | TX | MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207T00000X | Neurological Surgery | D9396 (Texas) | Primary |
Mailing Address | Practice Location Address |
---|---|
Dr Charles B Clark Iii, MD 6025 Metropolitan Dr, Suite 205, Beaumont, TX 77706-2408 Ph: (409) 899-4999 | Dr Charles B Clark Iii, MD 6025 Metropolitan Dr, Suite 205, Beaumont, TX 77706-2408 Ph: (409) 899-4999 |
Tamerla Dawn Chavis, MD Neurological Surgery Medicare: Medicare Enrolled Practice Location: 755 N 11th Street, Suite P5500, Beaumont, TX 77702 Phone: 409-924-8111 Fax: 409-924-8234 | |
Dr. Mark J Kubala, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 5235 Merlot Dr, Beaumont, TX 77706 Phone: 409-781-8426 | |
Dr. Marco T Silva, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 2965 Harrison St, Suite 111, Beaumont, TX 77702 Phone: 409-898-7800 Fax: 409-898-3295 |