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

Q: 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.

Q: What is John Clarke's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for John Clarke was last updated on August 12, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

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: August 16, 2026.

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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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.