Individual
LEONARD LIONEL CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1801 SAN JUAN DR, SHERMAN, TX 75092
(903) 892-3012
Mailing address
PO BOX 840853, DALLAS, TX 75284-0853
(972) 233-1999
(972) 233-3666
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
562123
TX
367500000X
Certified Registered Nurse Anesthetist
78396
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
045542
AANA CERTIFICATION
—
Enumeration date
12/12/2006
Last updated
06/05/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us