STEVEN CLARK MD PLLC
NPI 1174902621
Surgery - Plastic and Reconstructive Surgery in Dallas, TX
- Organization
- Surgery
- Plastic and Reconstructive Surgery
About STEVEN CLARK MD PLLC
This page provides the complete NPI Profile along with additional information for Steven Clark Md Pllc, a provider established in Dallas, Texas operating as a Surgery, focusing in plastic and reconstructive surgery . The healthcare provider is registered in the NPI registry with number 1174902621 assigned on May 2015. The practitioner's primary taxonomy code is 2086S0122X with license number N3567 (TX). The provider is registered as an organization and their NPI record was last updated one year ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Steven A Clark M.d. (Authorized Official/owner)
- NPI
- 1174902621 Verify this NPI
- Provider Name
- STEVEN CLARK MD PLLC
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 18170 DALLAS PKWY STE 202 DALLAS, TX 75287
- Location Phone
- (469) 675-3659
- Location Fax
- (469) 675-3181
- Mailing Address
- 4510 MEDICAL CENTER DRIVE SUITE 305 MCKINNEY, TX 75069
- Mailing Phone
- (469) 675-3659
- Mailing Fax
- (469) 675-3181
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-29-2015
- Last Update Date
- 07-24-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Surgery Plastic and Reconstructive Surgery
- Taxonomy Code
- 2086S0122X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- N3567
- License State
- TX
- Taxonomy Description
- A surgeon who specializes in plastic and reconstructive surgery.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 208200000X | Allopathic & Osteopathic Physicians | Plastic Surgery | N3567 (TX) |
| 2 | 2082S0105X | Allopathic & Osteopathic Physicians | Plastic Surgery | N3567 (TX) |
| 3 | 2086S0105X | Allopathic & Osteopathic Physicians | Surgery | N3567 (TX) |
Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3560955 | MEDICAID (05) | TX |
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
DALLAS, TX 75287
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1174902621, enumerated as an "organization" on May 29, 2015.
The provider is located at 18170 DALLAS PKWY STE 202 DALLAS, TX 75287 and the phone number is (469) 675-3659.
Surgery with taxonomy code 2086S0122X and a focus in Plastic and Reconstructive Surgery.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
