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

Timothy Michael Clark, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1912017039

Timothy Michael Clark, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Tyler, Texas. Qualified in 2005, 21 years ago. Practices with Mother Frances Hospital Regional Health Care Center, a 121-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
21
Licensed in
TX
In the registry since
2006
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

800 E Dawson St
Tyler, TX 75701-2036
Phone: (903) 531-2668
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 074887 (TX)

Record details

NPI number1912017039
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedAugust 30, 2006
Last updated in NPPESOctober 23, 2017
Mailing addressPo Box 841656, Dallas, TX 75284-1656

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Mother Frances Hospital Regional Health Care Center — 121 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Tyler