Edward Williams Clark, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

P0026 Issued in TX

Practice address

8226 Douglas Ave Ste 805
Dallas, TX 75225-5930

Phone

(214) 509-7054

Fax

(972) 472-0998

NPI assigned

Jul 16, 2009

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• E. Will Clark Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Oct 23, 2024 through Oct 23, 2026

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1247702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768867200000",
    "number": "1225268907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8226 DOUGLAS AVE STE 805",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752255930",
            "telephone_number": "214-509-7054",
            "fax_number": "972-472-0998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8226 DOUGLAS AVE STE 805",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752255930",
            "telephone_number": "214-509-7054",
            "fax_number": "972-472-0998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "EDWARD",
        "middle_name": "WILLIAMS",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-16",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "P0026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "E.",
            "last_name": "CLARK",
            "middle_name": "WILL",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Brian Clark
• Camille Clark, MD
• Chelsey Marie Clark
• Cheyla Romaine Clark, MPH, MS, CGC
• Deborah Jean Clark, LMSW,LMFT
• Elise N. Clark, FNP
• Elizabeth Maurine Clark, APRN, FNP-BC
• Ethan Clark, MA, LPC
• Gary R Clark, D.O.
• Glenn D Clark, DDS

• Psychiatry Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Psychiatry Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.