Kourtney Clark PLLC

Primary specialty

Audiologist-Hearing Aid FitterTaxonomy code 237600000X

License

80468 Issued in TX

Legal business name

KOURTNEY CLARK PLLC

Practice address

5420 Dashwood Dr Ste 310
Houston, TX 77081-5360

Phone

(713) 512-1267

Fax

(713) 512-1199

NPI assigned

Jan 9, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Kourtney ClarkNPI 1447682521

Title

President

Phone

(713) 512-1267

Specialties & licenses 1

Addresses

Other names 1

• Diagnostic Services of Houston Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kourtney Gisell Clark, AUD

  • Audiologist
  • Houston, TX
  • NPI 1447682521
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1420761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420761600000",
    "number": "1669861944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5420 DASHWOOD DR STE 310",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770815360",
            "telephone_number": "713-512-1267",
            "fax_number": "713-512-1199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5420 DASHWOOD DR STE 310",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770815360",
            "telephone_number": "713-512-1267",
            "fax_number": "713-512-1199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOURTNEY CLARK PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-09",
        "last_updated": "2015-01-09",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "KOURTNEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-512-1267",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "TX",
            "license": "80468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Diagnostic Services of Houston",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Yasmine Anne Koukaz, M.D.
• Maria Koumbias, PA
• Virginia Claire Kouns, SLPA
• Kourosh Keyhani, DO PA
• Odette Tiranke Kourouma, NP
• Kristin Koush, MD
• Chelsea Lee Koutroulis, LPC
• Efstratios Koutroumpakis, M.D.
• Levon Garbis Kouyoumdjian, DDS
• Ramez Kouzy, MD

• Audiologist-Hearing Aid Fitter in Houston, TX
• Providers in Houston, TX by specialty
• Audiologist-Hearing Aid Fitter in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.