EDWARD CLARK LVN, LPN
NPI 1033638424
Licensed Vocational Nurse in Austin, TX

Q: What is Edward Clark's NPI number?

The NPI number for Edward Clark is 1033638424. It was assigned to this individual provider in the NPPES registry on September 17, 2017.

Q: What is Edward Clark's specialty?

The primary specialty registered for this NPI is Licensed Vocational Nurse with taxonomy code 164X00000X.

Q: When was this NPI record last updated?

The NPPES record for Edward Clark was last updated on September 17, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 September 17, 2017

6600 E BEN WHITE BLVD, AUSTIN, TX 78741(512) 804-3740 Get Directions Write a Review

NPPES record last updated: September 17, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Edward Clark Lvn, Lpn NPPES

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

EDWARD CLARK LVN, LPN (NPI 1033638424) is an individual licensed vocational nurse in Austin, Texas, licensed in Texas (331536) and active in the NPI registry since September 2017.

NPPES Registry Identity

NPI1033638424

Entity TypeIndividualMale

Primary Taxonomy164X00000X

Provider Legal NameEDWARD CLARKCredential: LVN, LPN

Location Address6600 E BEN WHITE BLVDAustin, TX 78741-7537

Mailing Address1430 Collier StAustin, TX 78704-2911 · (512) 472-4357 · Fax (512) 703-1394

Phone(512) 804-3740

Sole ProprietorNo

Enumeration DateSeptember 17, 2017

✔ NPI 1033638424 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyLicensed Vocational NurseNursing Service Providers

Taxonomy Code164X00000X

License✔ Licensed in TX · 331536

Definition

A licensed vocational nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.

Also ListedLicensed Practical NurseTaxonomy 164W00000X · License 200930549LPN (OR)

6600 E BEN WHITE BLVD, Austin, TX 78741

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STEPHANIE MARIE REYES RN

Registered Nurse