Shane Alan Clark, MD | |
6606 Lbj Fwy, Suite 200, Dallas, TX 75240-6533 | |
(972) 715-5000 | |
(972) 715-9976 |
Full Name | Shane Alan Clark |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 19 Years |
Location | 6606 Lbj Fwy, Dallas, Texas |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265573067 | NPI | - | NPPES |
186407609 | Medicaid | TX | |
P01445776 | Other | TX | RAIRLAOD |
8EH505 | Other | TX | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | M5105 (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Texas Health Harris Methodist Hospital Alliance | Fort worth, TX | Hospital |
Texas Health Harris Methodist Hospital Southlake | Southlake, TX | Hospital |
Baylor Medical Center At Trophy Club | Trophy club, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
U S Anesthesia Partners Of Texas, Pa | 7315850351 | 2379 |
Entity Name | U S Anesthesia Partners Of Texas, Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548208564 PECOS PAC ID: 7315850351 Enrollment ID: O20031106000563 |
Mailing Address | Practice Location Address |
---|---|
Shane Alan Clark, MD Po Box 840853, Dallas, TX 75284-0853 Ph: (972) 715-5000 | Shane Alan Clark, MD 6606 Lbj Fwy, Suite 200, Dallas, TX 75240-6533 Ph: (972) 715-5000 |
Lee M. Lunsford, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 5323 Harry Hines Blvd, Dallas, TX 75390 Phone: 214-648-8000 | |
Dr. Stephanie C Jones, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 5323 Harry Hines Blvd, Dallas, TX 75390 Phone: 214-648-9374 | |
Dr. Alfredo Ruben Lopez, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 6606 Lbj Fwy Ste 200, Dallas, TX 75240 Phone: 972-715-5000 Fax: 972-715-9976 | |
Dr. Elvis Tsang, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 12222 Merit Dr Ste 600, Dallas, TX 75251 Phone: 972-715-5000 Fax: 972-715-9976 | |
Dr. Christopher D Lecheminant, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 6606 Lbj Fwy Ste 200, Dallas, TX 75240 Phone: 972-715-5000 | |
Dr. Mihir N Rane, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3625 N Hall St Ste 800, Dallas, TX 75219 Phone: 214-252-3500 | |
Lisa Gu, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 5323 Harry Hines Blvd, Dallas, TX 75390 Phone: 214-648-6400 |