Dr Sharon Ellen Clark, DO MPH is a
Preventive Medicine - Occupational Medicine physician based in Ft Worth, Texas. Dr Sharon Ellen Clark is licensed to practice in Texas (license number G3232) and her current practice location is 2500 Lou Menk Dr, Ft Worth, Texas. She can be reached at her office (for appointments etc.) via phone at
(871) 352-2483.
NPI number for Dr Sharon Ellen Clark is 1457571192 and her current mailing address is 2708 Maple Brook Ct, Bedford, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1457571192.
Physician's Profile
| Full Name | Dr Sharon Ellen Clark |
|---|
| Gender | Female |
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| Speciality | Preventive Medicine - Occupational Medicine |
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| Location | 2500 Lou Menk Dr, Ft Worth, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1457571192
- Provider Enumeration Date: 04/26/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Sharon Ellen Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1457571192 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2083X0100X | Preventive Medicine - Occupational Medicine | G3232 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Sharon Ellen Clark is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Sharon Ellen Clark, DO MPH
2708 Maple Brook Ct,
Bedford, TX 76021-7212
Ph: (817) 540-3380 | Dr Sharon Ellen Clark, DO MPH
2500 Lou Menk Dr,
Ft Worth, TX 76131-2828
Ph: (871) 352-2483 |
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