Individual provider Active NPI

Dana Clark, MD

  • Family Medicine Physician
  • Houston, TX
National Provider Identifier
1992894364
Registry record updated May 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
J4748 Issued in TX
Practice address
2605 Reed Rd
Houston, TX 77051-2560
Phone
(713) 532-9901
Fax
(713) 286-6091
NPI assigned
Oct 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2025

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 J4748 TX Primary

Addresses

Primary practice location

2605 Reed Rd
Houston, TX 77051-2560

Mailing address

1100 W 34TH St
Houston, TX 77018-6206
Phone (713) 861-3939

Other practice location 1

1100 W 34th St
Houston, TX 77018-6206
Phone (713) 861-3939

Other practice location 2

1212 Prairie St
Houston, TX 77002-2008
Phone (713) 220-9730

Other identifiers 1

IdentifierTypeStateIssuer
112009901MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040802000126 TX Practitioner - Family Practice 8426029836 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of California, Geffen School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthcare for the Homeless-HoustonGroup PAC ID 4385614882, 10 clinicians

Practice addresses (Care Compare)

1212 Prairie St
Houston, TX 77002-2008
Phone (713) 220-9730

1934 Caroline St
Houston, TX 77002-8210
Phone (713) 286-6000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
J4748TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baylor College of Medicine CurrentSince Aug 1, 2000 Accepting new patients
Healthcare for the Homeless-Houston Family Medicine Current Accepting new patients
Healthcare for the Homeless-Houston Family Medicine CurrentSince Apr 10, 2019 Accepting new patients
Baylor College of Medicine Family Medicine CurrentSince Aug 1, 2000 Accepting new patients
Healthcare for the Homeless-Houston CurrentSince Apr 10, 2019 Accepting new patients
Healthcare for the Homeless-Houston Family Medicine Past Accepting new patients
Baylor College of Medicine Past Accepting new patients
Healthcare for Homeless Houston Past Accepting new patients

Locations

2 Greenway Plz
Ste 900
Houston, TX 77046
Phone (713) 798-1835

1100 W 34th St
Houston, TX 77018
Phone (713) 861-3939

1504 Taub Loop
Houston, TX 77030
Phone (713) 873-2860

3401 Fannin St
Houston, TX 77004
Phone (713) 526-0311

1934 Caroline St
Houston, TX 77002
Phone (713) 286-6000

2505 Fannin St
Houston, TX 77002
Phone (713) 739-7752

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747094400000",
    "number": "1992894364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 W 34TH ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770186206",
            "telephone_number": "713-861-3939",
            "fax_number": "713-867-7819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2605 REED RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770512560",
            "telephone_number": "713-532-9901",
            "fax_number": "713-286-6091"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 W 34th St",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770186206",
            "country_code": "US",
            "telephone_number": "713-861-3939",
            "fax_number": "713-867-7819",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1212 Prairie St",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770022008",
            "country_code": "US",
            "telephone_number": "713-220-9730",
            "fax_number": "713-220-9743",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLARK",
        "first_name": "DANA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "J4748",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112009901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.