Jacob Clark is one of 9 nurse anesthetists practicing in Fredericksburg, Texas .
Jacob Clark practices with U S Anesthesia Partners Of Texas, PA.
Registry record (NPPES)
NPI
1093282410
Type
Type 1 · Individual
Primary taxonomy
Nurse Anesthetist, Certified Registered · 367500000X
Address on file
3705 Medical Pkwy Ste 570
Enumerated
Oct 24, 2018
Record last updated
Sep 21, 2020
License states listed
TX
Medicare (CMS)
Enrollment
Medicare-enrolled in TXCertified Registered Nurse Anesthetist (CRNA)
Revalidation due
No date set by CMS
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Part D prescribing
Procedure volumes by CPT code
Group affiliations and colleagues
Full enrollment history
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Practice locations
1020 S State Hwy 16 Greater Houston AnesthesiologyFredericksburg , TX 78624
More nurse anesthetists in Fredericksburg
Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.
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