| Theresa Clark, | |
|
2495 Shreveport Hwy, Pineville, LA 71360-4044 | |
| (318) 473-0010 | |
| Not Available |
| Full Name | Theresa Clark |
|---|---|
| Gender | Female |
| Speciality | Registered Nurse - Medical-surgical |
| Location | 2495 Shreveport Hwy, Pineville, Louisiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104079839 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WM0705X | Registered Nurse - Medical-surgical | 163WM0705X (Louisiana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Theresa Clark, 107 Boundary Dr, Woodworth, LA 71485-9719 Ph: () - | Theresa Clark, 2495 Shreveport Hwy, Pineville, LA 71360-4044 Ph: (318) 473-0010 |
Ms. Welda O'neal Moreau, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 242 West Shamrock St, Pineville, LA 71360 Phone: 318-484-6850 Fax: 318-484-6506 | |
Victoria Sarkar, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 306 Holiday Cir, Pineville, LA 71360 Phone: 318-704-7871 | |
Rosa Ashby Metoyer, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 242 W. Shamrock St., Pineville, LA 71360 Phone: 318-484-6850 Fax: 318-484-6506 | |
Mr. Alton Brent Campbell, CRNA Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2495 Shreveport Highway, Pineville, LA 71306 Phone: 318-473-0010 | |
Catherine Shipes Augustine, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: Unit 6 Meadow Lane, Pineville, LA 71360 Phone: 318-484-6400 Fax: 318-487-5703 | |
Sylvia Ritchie, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: Meadow Lane Unit 6 Central State Hosp., Pineville, LA 71360 Phone: 318-484-6400 Fax: 318-487-5703 |