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
Address 1500 S Dairy Ashford St, Houston, Texas
Phone Number 2815583440
Fax Number 2815583448
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Clark Manning Tracy
Credentials D.D.S.
Telephone Number 2815583440

NPI Number Detail

NPI Number 1295889863
Provider Enumeration Date 2007-01-22
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 1500 S Dairy Ashford St
City Houston
State Texas (TX)
Post Code 770773854
Phone Number 2815583440
Fax Number 2815583448

Provider's Primary Taxonomy Detail

Speciality Endodontics
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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FAQs about Tracy M. Clark Dds Inc

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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