Individual provider · Type 1 NPI
Thomas R. Clark, DC, CCSP, PA
Chiropractor · Amarillo, TX
NPI number
1487877213
Active
Practice location
2418 W 9th Ave
Amarillo, TX 79106-6620
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 6532 (TX) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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About NPI 1487877213
Thomas R. Clark, DC, CCSP, PA's National Provider Identifier is 1487877213, issued on Apr 10, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Amarillo, TX. The record was last updated on Jul 9, 2007.