Clark, Tracy Manning
Clark, Tracy Manning is an sole proprietor health care provider with primary practice located at 1500 S Dairy Ashford Rd Ste. 114, Houston TX 77077-3854. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Clark, Tracy Manning can be contacted via phone (281) 558-3440.Contact Information
Primary practice address
1500 S Dairy Ashford Rd Ste. 114
Houston TX 77077-3854
Phone: (281) 558-3440
Fax: (281) 558-3448
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Endodontics | 1223E0200X | 15603 | Texas |
Profile Details
| NPI number | 1952793051 |
|---|---|
| LBN Legal business name | Clark, Tracy Manning |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 26th, 2015 |
| Last updated | Feb 26th, 2015 - about 10 years ago |
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 | 1952793051 | NPPES |
| Other | 760367302 | DENTAL |
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