Stephen Sidney Clark, MD | |
3705 Medical Pkwy, Suite 250, Austin, TX 78705-1019 | |
(512) 302-1210 | |
Not Available |
Full Name | Stephen Sidney Clark |
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Gender | Male |
Speciality | Surgery |
Location | 3705 Medical Pkwy, Austin, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164401089 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | D4955 (Texas) | Primary |
Entity Name | Capital Surgeons Group, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891745592 PECOS PAC ID: 8527039031 Enrollment ID: O20040805001072 |
Mailing Address | Practice Location Address |
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Stephen Sidney Clark, MD 3705 Medical Pkwy, Suite 250, Austin, TX 78705-1019 Ph: (512) 334-1885 | Stephen Sidney Clark, MD 3705 Medical Pkwy, Suite 250, Austin, TX 78705-1019 Ph: (512) 302-1210 |
Julie Mckenzie Sprunt, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 901 W 38th St Ste 300, Austin, TX 78705 Phone: 512-421-4100 Fax: 512-419-0924 | |
Adriana Elisa Castro, MD Surgery Medicare: Medicare Enrolled Practice Location: 11615 Angus Rd Ste 106, Austin, TX 78759 Phone: 512-630-0070 Fax: 512-436-8295 | |
Kevin P O'farrell, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 6811 Austin Center Blvd # 300, Austin, TX 78731 Phone: 512-344-0368 Fax: 512-344-0335 | |
Mark Raymond Lindsey, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3901 Medical Pkwy, Suite 200, Austin, TX 78756 Phone: 512-467-7151 Fax: 512-467-8809 | |
Jose L Bravo, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 313 E 12th St Ste 100, Austin, TX 78701 Phone: 512-324-8960 Fax: 512-324-8962 | |
Kaylyn Barrett, Surgery Medicare: Medicare Enrolled Practice Location: 1501 Red River St Fl 2, Austin, TX 78712 Phone: 512-495-5555 | |
Charlie P Ross, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 2911 Medical Arts St, Bldg 2 Attn: Austin Surgical Clinic Assn, Austin, TX 78705 Phone: 512-478-3402 Fax: 512-478-7114 |