John Samuel Clarke in Tyler - Thoracic Surgery (cardiothoracic Vascular Surgery)
John Samuel Clarke - NPI 1003811928
John Samuel Clarke is a Thoracic Surgery (cardiothoracic Vascular Surgery) in Tyler, Texas. John Samuel Clarke practices all healthcare services and medical treatments related to Thoracic Surgery (cardiothoracic Vascular Surgery). The NPI Number for John Samuel Clarke is 1003811928. The last update date is 2008-08-12.
John Samuel Clarke's current location address is Po Box 10090, Tyler, Texas. You can contact this provider via phone number 9038251981 and fax number 9038253375. The mailing address for John Samuel Clarke is Po Box 10090, Tyler, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Samuel Clarke |
|---|---|
| Address | Po Box 10090, Tyler, Texas |
| Phone Number | 9038251981 |
| Fax Number | 9038253375 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1003811928 |
|---|---|
| Provider Enumeration Date | 2005-06-16 |
| Last Updated Date | 2008-08-12 |
Provider Mailing Address Detail
| Address | Po Box 10090 |
|---|---|
| City | Tyler |
| State | Texas (TX) |
| Post Code | 7571100900 |
| Phone Number | 9038251981 |
| Fax Number | 9038253375 |
Provider's Primary Taxonomy Detail
| Speciality | Thoracic Surgery (cardiothoracic Vascular Surgery) |
|---|---|
| Taxonomy | 208G00000X |
| Licence No | G9082 |
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Definition: A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 110348302 | TX | -- |
Post Comment/ Review Below
What is the unique identification code assigned to John Samuel Clarke by the Centers for Medicare & Medicaid Services?
The John Samuel Clarke has been issued the NPI (National Provider Identifier) 1003811928. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where John Samuel Clarke is located?
The John Samuel Clarke is situated at the following address: Po Box 10090, Tyler, TX, 7571100900.
What is John Samuel Clarke's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for John Samuel Clarke is Thoracic Surgery (cardiothoracic Vascular Surgery), and the corresponding taxonomy classification code for this specialized field is 208G00000X.
On what date was the 1003811928 assigned to John Samuel Clarke?
The John Samuel Clarke was issued its 1003811928 on 2005-06-16, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to John Samuel Clarke last refreshed?
The information related to the John Samuel Clarke, including its address, specialty, and other relevant details, was last updated on 2008-08-12.