NPIMap

Individual provider Active NPI

Australia D Clark, M.D.

  • Family Medicine Physician
  • Conroe, TX
National Provider Identifier
1528329562
Registry record updated Jun 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
Q1805 Issued in TX
Practice address
4015 Interstate 45 N Ste 100
Conroe, TX 77304-5076
Phone
(936) 270-4600
Fax
(936) 856-8429
NPI assigned
Jun 6, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Q1805 TX Primary

Addresses

Primary practice location

4015 Interstate 45 N Ste 100
Conroe, TX 77304-5076

Mailing address

4015 Interstate 45 N Ste 100
Conroe, TX 77304-5076
Phone (936) 270-4600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151019000181 TX Practitioner - Family Practice 1850600644 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical School at Houston, 2012
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

605 S Conroe Medical Dr
Conroe, TX 77304-4722

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Lone Star Community Health Center, Inc. Family Medicine CurrentSince Mar 1, 2023 Accepting new patients
Lone Star Community Health Center, Inc. Family Medicine Past Accepting new patients
TMH Physician Associates PLLC Family Medicine Past Accepting new patients
Lone Star Community Health Center, Inc. Family Medicine Past Accepting new patients
Lone Star Community Health Center, Inc. Past Accepting new patients

Locations

13905 Grangerland Rd
Conroe, TX 77306

605 S Conroe Medical Dr
Conroe, TX 77304

440 Rayford Rd
Ste 150
Spring, TX 77386

9516 FM 1097 Rd W
Ste 140
Willis, TX 77318
Phone (936) 436-5540

Interoperability endpoints

  • Direct secure messaging: australia.clark.1@31617.direct.athenahealth.com
  • Direct secure messaging: australiaclark@lsfhc.allscriptsdirect.net

Organizations & group practices 5

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

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1338940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780358400000",
    "number": "1528329562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4015 INTERSTATE 45 N STE 100",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773045076",
            "telephone_number": "936-270-4600",
            "fax_number": "936-856-8429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4015 INTERSTATE 45 N STE 100",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773045076",
            "telephone_number": "936-270-4600",
            "fax_number": "936-856-8429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "AUSTRALIA",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-06",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "Q1805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conroe, TX

Sources for this page

Verify at the official NPI Registry.