Shane Alan Clark in Dallas - Anesthesiology
Shane Alan Clark - NPI 1265573067
Shane Alan Clark is a Anesthesiology in Dallas, Texas. Shane Alan Clark practices all healthcare services and medical treatments related to Anesthesiology. The NPI Number for Shane Alan Clark is 1265573067. The last update date is 2022-01-31.
Shane Alan Clark's current location address is Po Box 840853, Dallas, Texas. You can contact this provider via phone number 9727155000 and fax number 9727159976. The mailing address for Shane Alan Clark is Po Box 840853, Dallas, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shane Alan Clark |
|---|---|
| Address | Po Box 840853, Dallas, Texas |
| Phone Number | 9727155000 |
| Fax Number | 9727159976 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1265573067 |
|---|---|
| Provider Enumeration Date | 2007-02-12 |
| Last Updated Date | 2022-01-31 |
Provider Mailing Address Detail
| Address | Po Box 840853 |
|---|---|
| City | Dallas |
| State | Texas (TX) |
| Post Code | 752840853 |
| Phone Number | 9727155000 |
| Fax Number | 9727159976 |
Provider's Primary Taxonomy Detail
| Speciality | Anesthesiology |
|---|---|
| Taxonomy | 207L00000X |
| Licence No | M5105 |
|
Definition: An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 186407609 | TX | -- | |
| P01445776 | TX | RAIRLAOD | |
| 8EH505 | TX | BCBS |
Post Comment/ Review Below
What is the unique identification code assigned to Shane Alan Clark by the Centers for Medicare & Medicaid Services?
The Shane Alan Clark has been issued the NPI (National Provider Identifier) 1265573067. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Shane Alan Clark is physically located?
The Shane Alan Clark is physically situated at the following address: Po Box 840853, Dallas, TX, 752840853.
What is Shane Alan Clark's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Shane Alan Clark is Anesthesiology, and the corresponding taxonomy classification code for this specialized field is 207L00000X.
On what date did Shane Alan Clark receive its 1265573067 assignment from the Centers for Medicare & Medicaid Services?
The Shane Alan Clark was assigned its 1265573067 on 2007-02-12, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Shane Alan Clark most recently updated or revised?
The information pertaining to Shane Alan Clark, including its address, specialty, and other relevant details, was last updated or revised on 2022-01-31.
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