Rann L Clark, DO is a
Family Medicine physician based in Manchaca, Texas. Rann L Clark is licensed to practice in Texas (license number D9764) and his current practice location is 12907arroyo Doble Dr, Manchaca, Texas. He can be reached at his office (for appointments etc.) via phone at
(512) 282-3166.
NPI number for Rann L Clark is 1942457387 and his current mailing address is 12907arroyo Doble Dr, Manchaca, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1942457387.
Physician's Profile
| Full Name | Rann L Clark |
|---|
| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 12907arroyo Doble Dr, Manchaca, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1942457387
- Provider Enumeration Date: 08/27/2008
- Last Update Date: 08/27/2008
Medical Identifiers
Medical identifiers for Rann L Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1942457387 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | D9764 (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. Rann L 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 |
|---|
Rann L Clark, DO
12907arroyo Doble Dr,
Manchaca, TX 78652-4706
Ph: (512) 282-3166 | Rann L Clark, DO
12907arroyo Doble Dr,
Manchaca, TX 78652-4706
Ph: (512) 282-3166 |
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