Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Clark Gravell, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1518545961

Clark Gravell, MD is a Dermatology in Austin, Texas. Qualified in 2021, 5 years ago. Practices with Southwest Skin and Vein Center PLLC, an 8-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
5
Licensed in
TX
In the registry since
2021
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4419 Frontier Trl Ste 110
Austin, TX 78745-1567
Phone: (512) 444-7208
Fax: (512) 444-2343
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4502 Medical Dr, San Antonio, TX 78229-4402 — (210) 358-3555

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence V5269 (TX)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1518545961
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 29, 2021
Last updated in NPPESJuly 15, 2025
Certification dateJuly 15, 2025
Mailing address4419 Frontier Trl Ste 110, Austin, TX 78745-1567

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Southwest Skin And Vein Center Pllc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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