Dr George Edward Clark Iii, MD | |
3150 Clarksville St, Suite 100, Paris, TX 75460-8076 | |
(903) 782-9206 | |
(903) 783-7352 |
Full Name | Dr George Edward Clark Iii |
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Gender | Male |
Speciality | Pediatrics |
Location | 3150 Clarksville St, Paris, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992733802 | NPI | - | NPPES |
124603503 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | E6284 (Texas) | Primary |
Entity Name | Pca Primary Care Associates Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790723468 PECOS PAC ID: 3971568023 Enrollment ID: O20041130000881 |
Mailing Address | Practice Location Address |
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Dr George Edward Clark Iii, MD 3150 Clarksville St, Suite 100, Paris, TX 75460-8076 Ph: (903) 782-9206 | Dr George Edward Clark Iii, MD 3150 Clarksville St, Suite 100, Paris, TX 75460-8076 Ph: (903) 782-9206 |
Janice Lynn Gibbons, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3150 Clarksville St, Suite 100, Paris, TX 75460 Phone: 903-782-9206 Fax: 903-783-7367 | |
Dr. Aubrey Clark Gibbs, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3150 Clarksville St, Suite 100, Paris, TX 75460 Phone: 903-782-9206 Fax: 903-783-7367 | |
Dr. Sherry Larraine Scott, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 740 6th St Sw, Paris, TX 75460 Phone: 903-785-4561 Fax: 903-737-9924 | |
Clifford Tyler Scott, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3150 Clarksville St, Suite 100, Paris, TX 75460 Phone: 903-782-9206 Fax: 903-783-7367 | |
Martin Thomas Cutrell Iii, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3150 Clarksville St, Suite 100, Paris, TX 75460 Phone: 903-782-9206 Fax: 903-783-7367 | |
Eric Eugene Salzman, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3150 Clarksville St, Suite 100, Paris, TX 75460 Phone: 903-782-9206 Fax: 903-783-7367 |