Provider Demographics
NPI:1518265966
Name:CLINICAL ASSOCIATES, INC
Entity Type:Organization
Organization Name:CLINICAL ASSOCIATES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:WARMAN
Authorized Official - Suffix:
Authorized Official - Credentials:CRNA
Authorized Official - Phone:361-739-9928
Mailing Address - Street 1:1452 HUGHES RD STE 244
Mailing Address - Street 2:
Mailing Address - City:GRAPEVINE
Mailing Address - State:TX
Mailing Address - Zip Code:76051-7366
Mailing Address - Country:US
Mailing Address - Phone:800-875-8523
Mailing Address - Fax:361-992-1667
Practice Address - Street 1:1452 HUGHES RD STE 244
Practice Address - Street 2:
Practice Address - City:GRAPEVINE
Practice Address - State:TX
Practice Address - Zip Code:76051-7366
Practice Address - Country:US
Practice Address - Phone:800-875-8523
Practice Address - Fax:361-239-2863
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-09
Last Update Date:2022-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX088514704Medicaid
TX000773585Medicaid
AR208379001Medicaid