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DR. JOHN SAMUEL CLARKE M.D.
NPI 1003811928
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Bullard, TX

Active since June 16, 2005
119 LAKE BLUFF DR, BULLARD, TX 75757(903) 825-1981(903) 825-3375 Get Directions Write a Review

NPPES record last updated: August 12, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. John Samuel Clarke M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JOHN SAMUEL CLARKE M.D. (NPI 1003811928) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Bullard, Texas, licensed in Texas (G9082) and active in the NPI registry since June 2005.

NPPES Registry Identity

NPI1003811928
Entity TypeIndividualMale
Primary Taxonomy208G00000X
Provider Legal NameDR. JOHN SAMUEL CLARKECredential: M.D.
Location Address119 LAKE BLUFF DRBullard, TX 75757-9740
Mailing AddressPo Box 10090Tyler, TX 75711-0090 · (903) 825-1981 · Fax (903) 825-3375
Phone(903) 825-1981
Fax(903) 825-3375
Sole ProprietorYes
Enumeration DateJune 16, 2005
Last NPPES UpdateAugust 12, 2008
✔ NPI 1003811928 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
License✔ Licensed in TX · G9082
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 of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
Also ListedSurgeryTaxonomy 208600000X · License G9082 (TX)
119 LAKE BLUFF DR, Bullard, TX 75757
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Other Identifiers 3

Medicare UPINC14530TX
Medicare ID-Type Unspecified00H74CTX
Medicaid110348302TX

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Clarke's NPI number?

The NPI number for John Clarke is 1003811928. It was assigned to this individual provider in the NPPES registry on June 16, 2005.

Where is John Clarke located?

John Clarke practices at 119 Lake Bluff Dr, Bullard, TX 75757. The listed phone number is (903) 825-1981.

What is John Clarke's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

When was this NPI record last updated?

The NPPES record for John Clarke was last updated on August 12, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.