Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1336357045 Individual Practitioner Male Practitioner

Robert Jeff Clark , BS, CNIM

Specialist/Technologist, Other - Electroneurodiagnostic • Lindale, TX

Professional Overview & Biography Verified Profile Summary

Robert Clark, BS, CNIM is a registered healthcare professional specializing in Specialist/Technologist, Other - Electroneurodiagnostic in Lindale, TX. Practice services are available at 14983 BOAZ LN under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

14983 Boaz Ln

Lindale, TX 757714801

Telephone 9727866167
Fax 9038827748
Associated Practice Facility / Clinic
🏢 Head And Spine Institute Llc Facility NPI 1407525538

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist/Technologist, Other - Electroneurodiagnostic in Lindale, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
10 Specialists

Practicing in Lindale, TX (927 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-09-02
Specialist/Technologist, Other - Electroneurodiagnostic Primary Specialty

NUCC Taxonomy Code: 246ZE0600X

Definition to come...

Practice Associates & Co-Workers

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

7 Associated Practitioners
Tanweer Ahmed , CNIM

Specialist/Technologist, Other - Electroneurodiagnostic

NPI 1013156975
Steven Semich , R EEGT, EPT, CNIM

Specialist/Technologist, Other - Electroneurodiagnostic

NPI 1568596377

REEGT, EPT, CNIM

Sunny Qin , BS, CNIM

Specialist/Technologist, Other - Electroneurodiagnostic

NPI 1568836682

Bachelor of Science, CNIM

Timmy Newton , BS, R EEGT, CNIM

Specialist/Technologist, Other - Electroneurodiagnostic

NPI 1609078567

Bachelor of Science, REEGT, CNIM

Dr. Jennifer Powell , CNIM, DABNM, DC

Specialist/Technologist, Other - Electroneurodiagnostic

NPI 1760531024

CNIM, DABNM, Doctor of Chiropractic

Mary Semich

Psychiatry & Neurology - Neurology

NPI 1851069140

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location September 02, 2021

Registered at 14983 BOAZ LN, LINDALE, TX 757714801 (Tel: 9727866167)

📍
Updated Business Mailing Address September 02, 2021

Registered at 14983 BOAZ LN, LINDALE, TX 757714801 (Tel: 9727866167)

👤
Provider Name / Credentials Updated September 02, 2021

Recorded as ROBERT CLARK, BS, CNIM

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 10940 S PARKER RD # 130, PARKER, CO 801347440 (Tel: 3034263927)

📍
Updated Business Mailing Address July 08, 2007

Registered at 1451 24TH ST APT 233, DENVER, CO 802052149 (Tel: 8773779555)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as ROBERT CLARK

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Specialist/Technologist, Other

🟢
Initial NPI Registration & Enumeration May 18, 2007

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: 1336357045
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 18, 2007
Last Update: September 02, 2021
Sole Proprietor: Yes

Mailing Address

14983 Boaz Ln

Lindale, TX 757714801

Phone: 9727866167

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.