Timothy Michael Clark CRNA

  • NPI 1912017039
According to our database, the NPI number for Timothy Michael Clark CRNA is 1912017039 and activated since 17 years ago. Timothy Michael Clark CRNA is an individual provider who specializes in Nurse Anesthetist, Certified Registered, and the primary practice location is 800 E Dawson St, Tyler, TX 75701. You can also contact Timothy Michael Clark CRNA via telephone number is (903) 531-2668. Provider NPI information was last updated on 10/23/2017.

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Overview of Timothy Michael Clark CRNA

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 08/30/2006
  • Last updated: 10/23/2017

Primary Scrop of Practice

  • Taxonomy Code: 367500000X
  • Specialty: Nurse Anesthetist, Certified Registered
  • License Number: 074887
  • License State: TX

Provider Mailing Address

  • Address: Po Box 841656
    Dallas, TX 75284
  • Phone: 903-531-4522
  • Fax:

Provider Practice Location

  • Address: 800 E Dawson St
    Tyler, TX 75701
  • Phone: 903-531-2668
  • Fax:

Scope of Practice

  • Taxonomy Code: 367500000X
  • Specialty: Nurse Anesthetist, Certified Registered
  • License Number: 074887
  • License State: TX
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 138309701
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: TX
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Timothy Michael Clark CRNA?
  • A: The npi number for Timothy Michael Clark CRNA is 1912017039.
  • Q: What are Timothy Michael Clark CRNA's specialties?
  • A: Timothy Michael Clark CRNA's specialties are Nurse Anesthetist, Certified Registered and different specialities.
  • Q: What is the medical license for Timothy Michael Clark CRNA?
  • A: The medical license number for Timothy Michael Clark CRNA is 074887 and issued in TX in USA.
  • Q: Where is Timothy Michael Clark CRNA practice location?
  • A: Timothy Michael Clark CRNA is practicing at 800 E Dawson St, Tyler, TX 75701.
  • Q: How to contact Timothy Michael Clark CRNA?
  • A: You can contact Timothy Michael Clark CRNA via 903-531-2668.