Marilyn Clark, RT, CT, RVS

Primary specialty

Sonography Specialist/Technologist CardiovascularTaxonomy code 246XS1301X

License

00024384 Issued in TX

Practice address

8700 9TH Ave Ste 108
Port Arthur, TX 77642-8069

Phone

(409) 719-1266

NPI assigned

Mar 14, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1489449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489449600000",
    "number": "1548701329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8700 9TH AVE STE 108",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776428069",
            "telephone_number": "409-719-1266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8700 9TH AVE STE 108",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776428069",
            "telephone_number": "409-719-1266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "MARILYN",
        "credential": "RT, CT, RVS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-14",
        "last_updated": "2017-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246XS1301X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist Cardiovascular, Sonography",
            "state": "TX",
            "license": "00024384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chris W. Kennaugh D.D.S.,P.a.
• Kristal Christian
• Christopher G. Browning, DPM, CWS, PA (Mid-County Foot Specialist)
• City of Ennis (Cascades at Port Arthur)
• City of Port Arthur
• Rachel Coleman
• Colin L,. Hales, MD PLLC
• Colin L. Hales, M.D., P.a.
• April Lynette Colligan, MS, CCC, SLP
• Complete Health Care

• Sonography Specialist/Technologist Cardiovascular in Port Arthur, TX
• Providers in Port Arthur, TX by specialty
• Sonography Specialist/Technologist Cardiovascular in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2017; 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.