Tracy M. Clark Dds Inc

NPI 1295889863 - Dentist - 1223E0200X

NPI Details
NPI 1295889863
Enumeration Date 01/22/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name TRACY MANNING TRACY
Position PRESIDENT
Phone (281) 558-3440
Fax (281) 558-3448
Practice Location
1500 S DAIRY ASHFORD ST
1500 SOUTH DAIRY ASHFORD STE. 114
HOUSTON TX, 77077-3854, US
Phone (281) 558-3440
Fax (281) 558-3448
Business Location
1500 S DAIRY ASHFORD ST
1500 SOUTH DAIRY ASHFORD STE. 114
HOUSTON TX, 77077-3854, US
Phone (281) 558-3440
Fax (281) 558-3448
Toxanomy
Taxonomy Code 1223E0200X
License State Texas
License Number 15603
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According to our database, Tracy M. Clark Dds Inc NPI is 1295889863, taxonomy code is 1223E0200X and license number is 15603, license state is located at Texas. Tracy M. Clark Dds Inc physically located at 1500 S Dairy Ashford St, Houston TX, 77077-3854. NPI Number 1033115704 has the healthcare provider type.

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1295889863 NPI number is provided on an as is basis without warranty of any kind. 1295889863 is maintained by the National Plan & Provider Enumeration System. The contents of Tracy M. Clark Dds Inc are for informational purposes only.