Individual provider · Type 1 NPI
Tracey Clark
Specialist · Dallas, TX
NPI number
1720449556
Active
Practice location
2201 Main St, #1200
Dallas, TX 75201-4327
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 225700000X (TX) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1720449556
Tracey Clark's National Provider Identifier is 1720449556, issued on Mar 7, 2016. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Dallas, TX. The record was last updated on Mar 7, 2016.