Roy Adrian Clarke, MD | |
7777 Forest Ln Ste B300, Dallas, TX 75230-2571 | |
(972) 284-7770 | |
(972) 284-7780 |
Full Name | Roy Adrian Clarke |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 7777 Forest Ln Ste B300, Dallas, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194717322 | NPI | - | NPPES |
153786204 | Medicaid | TX | |
153786203 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | L4305 (Texas) | Primary |
Entity Name | Texas Health Care Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477628873 PECOS PAC ID: 7214840867 Enrollment ID: O20031110000388 |
Mailing Address | Practice Location Address |
---|---|
Roy Adrian Clarke, MD Po Box 961205, Fort Worth, TX 76161-1205 Ph: (817) 740-8450 | Roy Adrian Clarke, MD 7777 Forest Ln Ste B300, Dallas, TX 75230-2571 Ph: (972) 284-7770 |
Dr. Jyothsna Gattineni, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 5323 Harry Hines Blvd, Dallas, TX 75390 Phone: 214-648-3438 | |
Ruth Osei Fordjour, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 12221 Merit Dr, Suite 1500, Dallas, TX 75251 Phone: 214-957-4754 | |
Dr. Alecia Curlene Nero, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 5323 Harry Hines Blvd, Dallas, TX 75390 Phone: 214-648-4180 | |
Dr. Sravani Avula, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 5323 Harry Hines Blvd, Dallas, TX 75390 Phone: 214-730-5437 | |
Asif Zia Khattak, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3500 Gaston Ave, Dallas, TX 75246 Phone: 214-820-7604 | |
Sadia Malik, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5323 Harry Hines Boulevard, Dallas, TX 75390 Phone: 214-456-2533 Fax: 214-456-8130 | |
Sana Jamil Siddiqui, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 5323 Harry Hines Boulevard, Dallas, TX 75390 Phone: 214-456-0488 Fax: 214-456-4486 |