Clark, Bryson A
Clark, Bryson A is an individual health care provider with primary practice located at 5587 Davis Blvd Ste 400 , North Richland Hills TX 76180-6498. He recently has only one registered license in Chiropractic Providers / Rehabilitation, which is considered as his primary health care specialty. Clark, Bryson A can be contacted via phone (800) 404-6050.Contact Information
Primary practice address
5587 Davis Blvd Ste 400
North Richland Hills TX 76180-6498
Phone: (800) 404-6050
Fax: (866) 313-3397
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Rehabilitation | 111NR0400X | 12393 | Texas |
Profile Details
| NPI number | 1588935175 |
|---|---|
| LBN Legal business name | Clark, Bryson A |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 13th, 2012 |
| Last updated | Oct 18th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1588935175 | NPPES |
| Texas | Other | 12393 | CHIROPRACTIC LICENSE |
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