Thomas A Clark, MD

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

F2598 Issued in TX

Practice address

5700 N Expressway # 77
Suite 102
Brownsville, TX 78526-4353

Phone

(956) 350-6561

Fax

(956) 350-6700

NPI assigned

Mar 20, 2006

Last updated

Aug 30, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rio Grande Valley Vein Clinic PA

  • Vascular Surgery Physician
  • Harlingen, TX
  • NPI 1558330456
  NPD (past) Authorized official
• Clinical Associates, Inc

  • Certified Registered Nurse Anesthetist
  • Grapevine, TX
  • NPI 1518265966
  NPD (past)
• Southern Texas Physicians Network Inc

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Conroe, TX
  • NPI 1538104351
  NPD (past)

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

{
    "created_epoch": "1142812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346284800000",
    "number": "1437118536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 N EXPRESSWAY # 77",
            "address_2": "SUITE 102",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785264353",
            "telephone_number": "956-350-6561",
            "fax_number": "956-350-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 N EXPRESSWAY # 77",
            "address_2": "SUITE 102",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785264353",
            "telephone_number": "956-350-6561",
            "fax_number": "956-350-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "THOMAS",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-20",
        "last_updated": "2012-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "TX",
            "license": "F2598",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "045632902",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Romulo Cisneros III
• Yvet Linda Cisneros, MD
• City of Brownsville
• CJ Services Texas LLC (Excellence Health Care)
• David J Clark, C.R.N.A.
• Claudia P. Garcia, M.D.
• Claudia Valencia Dba Alivio Home Care
• Gabriel Claudio
• Clear Imaging Spec LLC
• Clearview Psychiatry PLLC

• Vascular Surgery Physician in Brownsville, TX
• Providers in Brownsville, TX by specialty
• Vascular Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.