MITCHELL LEE CLARK MD
NPI 1336930213
Student in an Organized Health Care Education/Training Program in Tyler, TX
About Mitchell Lee Clark Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MITCHELL LEE CLARK MD (NPI 1336930213) is an individual student in an organized health care education/training program in Tyler, Texas and active in the NPI registry since May 2025. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mitchell Lee Clark Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
TYLER, TX 75708
TYLER, TX 75708
TYLER, TX 75708
TYLER, TX 75708
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 Mitchell Clark's NPI number?
The NPI number for Mitchell Clark is 1336930213. It was assigned to this individual provider in the NPPES registry on May 13, 2025.
Where is Mitchell Clark located?
Mitchell Clark practices at 11937 Us Highway 271, Tyler, TX 75708. The listed phone number is (903) 877-7200.
What is Mitchell Clark's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Mitchell Clark enrolled in Medicare?
Yes. Mitchell Clark is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Mitchell Clark was last updated on May 13, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.
