Paul A Clark, PT, DPT | |
410 Avenue G, Levelland, TX 79336-3719 | |
(806) 897-0540 | |
(806) 897-0542 |
Full Name | Paul A Clark |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 10 Years |
Location | 410 Avenue G, Levelland, 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 |
---|---|---|---|
1235540931 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 1242809 (Texas) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Athletico Ltd | 4789602681 | 1963 |
Provider Name | Athletico Ltd |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1821085028 PECOS PAC ID: 4789602681 Enrollment ID: O20190204002630 |
Mailing Address | Practice Location Address |
---|---|
Paul A Clark, PT, DPT 5217 82nd St, Suite 104, Lubbock, TX 79424-2827 Ph: (806) 687-4311 | Paul A Clark, PT, DPT 410 Avenue G, Levelland, TX 79336-3719 Ph: (806) 897-0540 |
George Gardner Stewart, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 410 Avenue G, Levelland, TX 79336 Phone: 806-897-0540 | |
Nicole Bay Ochotnicki, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 410 Avenue G, Levelland, TX 79336 Phone: 806-897-0540 | |
Kayla Michele Powell, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 410 Avenue G, Levelland, TX 79336 Phone: 806-897-0540 Fax: 806-897-0542 | |
Laura Anne Terry, PT, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 210 West Ave, Levelland, TX 79336 Phone: 806-894-5053 | |
Clarice Long, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 410 Avenue G, Levelland, TX 79336 Phone: 806-897-0540 Fax: 806-897-0542 | |
Lindsay Rae Shadden, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 410 Avenue G, Levelland, TX 79336 Phone: 806-897-0540 |