Tracy M. Clark Dds Inc in Houston - Endodontics
Tracy M. Clark Dds Inc - NPI 1295889863
Tracy M. Clark Dds Inc is a Endodontics in Houston, Texas. Tracy M. Clark Dds Inc practices all healthcare services and medical treatments related to Endodontics. The NPI Number for Tracy M. Clark Dds Inc is 1295889863. The last update date is 2020-08-22.
Tracy M. Clark Dds Inc's current location address is 1500 S Dairy Ashford St, Houston, Texas. You can contact this provider via phone number 2815583440 and fax number 2815583448. The mailing address for Tracy M. Clark Dds Inc is 1500 S Dairy Ashford St, Houston, Texas. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Tracy M. Clark Dds Inc |
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Address | 1500 S Dairy Ashford St, Houston, Texas |
Phone Number | 2815583440 |
Fax Number | 2815583448 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PRESIDENT |
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Authorized Official Name | Clark Manning Tracy |
Credentials | D.D.S. |
Telephone Number | 2815583440 |
NPI Number Detail
NPI Number | 1295889863 |
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Provider Enumeration Date | 2007-01-22 |
Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
Address | 1500 S Dairy Ashford St |
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City | Houston |
State | Texas (TX) |
Post Code | 770773854 |
Phone Number | 2815583440 |
Fax Number | 2815583448 |
Provider's Primary Taxonomy Detail
Speciality | Endodontics |
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Taxonomy | 1223E0200X |
Licence No | 15603 |
Definition: The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the eti |
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What is the unique identification code assigned to Tracy M. Clark Dds Inc by the Centers for Medicare & Medicaid Services?
The Tracy M. Clark Dds Inc has been issued the NPI (National Provider Identifier) 1295889863. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Tracy M. Clark Dds Inc is physically located?
The Tracy M. Clark Dds Inc is physically situated at the following address: 1500 S Dairy Ashford St, Houston, TX, 770773854.
What is Tracy M. Clark Dds Inc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Tracy M. Clark Dds Inc's area of specialization is Endodontics, and the corresponding taxonomy code that categorizes this field of practice is 1223E0200X.
On what date did the Centers for Medicare & Medicaid Services issue the 1295889863 to Tracy M. Clark Dds Inc?
The Tracy M. Clark Dds Inc received its 1295889863 assignment from the Centers for Medicare & Medicaid Services on 2007-01-22.
When was the information regarding Tracy M. Clark Dds Inc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Tracy M. Clark Dds Inc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-08-22.
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