Dr Robert Clark, DO | |
1717 Precinct Line Rd Ste 200b, Hurst, TX 76054-3197 | |
(817) 369-3990 | |
Not Available |
Full Name | Dr Robert Clark |
---|---|
Gender | Male |
Speciality | Anesthesiology - Pain Medicine |
Location | 1717 Precinct Line Rd Ste 200b, Hurst, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871541441 | NPI | - | NPPES |
159818704 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | K7696 (Texas) | Secondary |
207LP2900X | Anesthesiology - Pain Medicine | K7696 (Texas) | Primary |
Entity Name | Texas Pain Relief Group Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003246299 PECOS PAC ID: 2668603952 Enrollment ID: O20140331000940 |
Entity Name | Texas Anesthesia Group Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730503103 PECOS PAC ID: 4486874302 Enrollment ID: O20140927000019 |
Entity Name | Accord Anesthesia Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366976441 PECOS PAC ID: 6709153794 Enrollment ID: O20170523000720 |
Entity Name | Morningstar Anesthesia Professionals |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639824246 PECOS PAC ID: 3072909837 Enrollment ID: O20220404000248 |
Mailing Address | Practice Location Address |
---|---|
Dr Robert Clark, DO Po Box 840853, Dallas, TX 75284-0853 Ph: (972) 233-1999 | Dr Robert Clark, DO 1717 Precinct Line Rd Ste 200b, Hurst, TX 76054-3197 Ph: (817) 369-3990 |
Albert Lovell Shaw, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 729 West Bedfordeuless Road, Suite 111, Hurst, TX 76053 Phone: 817-868-1109 Fax: 817-545-8266 | |
Steven G Morrell, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 500 Grapevine Hwy, Ste 106, Hurst, TX 76054 Phone: 817-514-6271 Fax: 817-514-6278 | |
Prabhatsinh P Mangrola, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1612 Hurst Town Center Dr, Hurst, TX 76054 Phone: 254-694-5092 Fax: 254-694-7039 | |
Abdul-rahman Youssef Itani, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 729 West Bedford - Euless Rd., Suite 105, Hurst, TX 76053 Phone: 817-952-3050 Fax: 817-952-3053 | |
Dr. Tasneem Tabassum Dohadwala, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 6316 Precinct Line Rd, Hurst, TX 76054 Phone: 817-605-2950 Fax: 817-605-2595 | |
Dr. Richard Collier Leech, D. O. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 729 W Bedford Euless Rd, Suite 100, Hurst, TX 76053 Phone: 817-282-6905 Fax: 817-282-0939 |