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Deactivated NPI 1134172513 Deactivated / Inactive NPI Female Practitioner

Dr. Gloria Clark , MD

Specialist • El Paso, TX

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Gloria Clark has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 18, 2006
NPI Deactivation Date June 13, 2022
Total Practice Duration ~16 Years of Practice (2006 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Gloria Clark, MD was a registered Specialist practicing in El Paso, TX. Throughout an active medical career spanning 16 years, Dr. Clark provided care at the practice location at 10201 GATEWAY BLVD W until profile deactivation on 2022-06-13.

Historical Medicare Part B clinical services included established patient outpatient office visit, colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous, cervical or vaginal cancer screening; pelvic and clinical breast examination. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

10201 Gateway Blvd W
Suite 400

El Paso, TX 799257652

Telephone 9155987900
Fax 9155987902
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in El Paso, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 32.3 Yrs
State Avg: 38.0 Yrs
Regional Practice Density
53 Specialists

Practicing in El Paso, TX (2033 Statewide)

Telehealth Adoption Rate
3.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
48.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
55 30 $152.00 $113.90
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous
21 21 $75.00 $18.05
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination
20 20 $104.00 $37.92

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License TX J8961

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Dr. Frederick Harlass , MD

Obstetrics & Gynecology - Maternal & Fetal Medicine

NPI 1386620003

Doctor of Medicine (M.D.)

NPI 1619906732

Doctor of Medicine (M.D.), Physician Assistant

Dr. Angelo Romagosa , MD

Physical Medicine & Rehabilitation

NPI 1659379154

Doctor of Medicine (M.D.)

Dr. Neil Grieshop , MD

Surgery - Trauma Surgery

NPI 1669487401

Doctor of Medicine (M.D.)

Dr. Manuel Lopez , MD

Internal Medicine - Nephrology

NPI 1942265533

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated June 13, 2022

Record deactivated on June 13, 2022

NPI Profile Active September 18, 2013

NPI status registered as active in NPPES database

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Updated Practice Location September 18, 2013

Registered at 10201 GATEWAY BLVD W, SUITE 400, EL PASO, TX 799257652 (Tel: 9155987900)

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Updated Business Mailing Address September 18, 2013

Registered at 10201 GATEWAY BLVD W, SUITE 400, EL PASO, TX 799257652 (Tel: 9155987900)

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Provider Name / Credentials Updated September 18, 2013

Recorded as GLORIA CLARK, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 18, 2013

Specialist (License #J8961 in TX)

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Initial NPI Registration & Enumeration May 18, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1134172513
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 18, 2006
Last Update: September 18, 2013
Deactivation Date: June 13, 2022

Mailing Address

10201 Gateway Blvd W, Suite 400

El Paso, TX 799257652

Phone: 9155987900

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.