TRACEY CLARK (NPI# 1720449556) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720449556 |
| Entity Type | Individual |
| Full Name | TRACEY CLARK |
| Practice Address |
2201 Main St #1200 Dallas TX 75201-4327 |
| Mailing Address |
2201 Main St 1200 Dallas TX 75201-4327 |
| Practice Telephone | 9729002708 |
| Mailing Telephone | 9729002708 |
| Enumeration Date | 2016-03-07 |
| Last Update Date | 2016-03-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 225700000X | TX | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | MASSAGE THERAPY | 225700000X | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942830047 | Tracey Clark | Technician | 1118 46th St Ne Apt 1b, Washington, DC 20019-3844 | 2020-01-17 |
| 1215479415 | Tracey Clark | Counselor | 65 Waltham Ave, Manitou Springs, CO 80829-1612 | 2016-11-06 |
| 1437314127 | Tracey Durkovich Clark | Ophthalmology | 1 Ridgewood Drive, Bangor, ME 04401 | 2008-07-23 |
| 1396967956 | Tracey Elizabeth Clark | Social Worker | 775 Dent Road, Roanoke, VA 24019-4116 | 2007-05-03 |
| 1912402017 | Tracey Lyn Clark | Social Worker | 500 Barfield Dr, Hastings, MI 49058-9018 | 2018-03-29 |
| 1154703015 | Tracey Clark | Marriage & Family Therapist | 1457 E Chapman Ave, Fullerton, CA 92831-3912 | 2015-06-26 |
| 1568413953 | Tracey Ann Clark | Pediatrics | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2006-05-12 |
| Street Address |
2201 MAIN ST #1200 |
| City | DALLAS |
| State | TX |
| Zip Code | 75201-4327 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043408297 | Shannon Yvette Gales | Homeopath | 2201 Main St, #830, Dallas, TX 75201-4327 | 2007-10-11 |
| 1679924807 | Patriot Mobile Imaging, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 2201 Main St, Suite 1299, Dallas, TX 75201-4327 | 2016-06-29 |
| 1700245404 | Patriot Mobile Imaging, LLC | In Home Supportive Care | 2201 Main St, Suite 1299, Dallas, TX 75201-4327 | 2016-02-23 |
| 1407226129 | Clifton Wright | Radiologic Technologist | 2201 Main St, Ste1299, Dallas, TX 75201-4327 | 2015-10-07 |
| 1487077111 | Phycare Services Inc | Surgery | 2201 Main St, 1225, Dallas, TX 75201-4327 | 2014-01-31 |
| 1457619082 | Zenith Child and Family Wellness Center | Counselor | 2201 Main St, Suite 400-20, Dallas, TX 75201-4327 | 2012-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255945564 | Amanda Michelle Flores | Physician Assistant | 1801 Young St, Dallas, TX 75201 | 2020-09-03 |
| 1992366488 | Anmd Health Pllc | Family Medicine | 1910 Pacific Ave Suite 15700, Dallas, TX 75201 | 2019-06-25 |
| 1972083772 | Randalls Food & Drugs Lp | Durable Medical Equipment & Medical Supplies | 2380 N Field St, Dallas, TX 75201 | 2018-08-21 |
| 1861986986 | Stella O Adebusoye | Registered Nurse | 2121 Main St Ste 100, Dallas, TX 75201 | 2018-06-21 |
| 1215432026 | Shawana Harris | Counselor | 1910 Pacific Ave #7024, Dallas, TX 75201 | 2018-03-26 |
| 1285150821 | Lauren Elisabeth Kelling | Nurse Practitioner | 700 N. Pearl St. Suiten208, Dallas, TX 75201 | 2017-08-15 |
| 1962932319 | Jade On | Dentist | 2225 N Harwood St, Dallas, TX 75201 | 2017-06-19 |
| 1053857268 | Lj Dentistry, Pllc | Dentist | 2100 Ross Ave #960, Dallas, TX 75201 | 2017-01-11 |
| 1770946444 | Robin Margolin | Counselor | 1919 Mckinney Ave # 2063, Dallas, TX 75201 | 2016-03-31 |
| 1750767448 | Hcf Web Services | Respite Care | 2320 Taylor St, 2322, Dallas, TX 75201 | 2015-08-04 |
| Find all providers in zip 75201 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | 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. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275172827 | Tina Mone Patterson | Specialist | 8501 Old Hickory Trl Apt 2106, Dallas, TX 75237-3821 | 2019-12-31 |
| 1225670862 | Camerin J Cole | Specialist | 4701 Haverwood Ln Apt 112, Dallas, TX 75287-4206 | 2019-10-15 |
| 1356833198 | Diana Denise Demasi | Specialist | 4411 Lemmon Ave Ste 102, Dallas, TX 75219-2390 | 2018-06-06 |
| 1942718242 | Kristy Prieto | Specialist | 18809 Lina St Apt 10209, Dallas, TX 75287-2519 | 2018-01-21 |
| 1306354600 | Johnneshia Donald | Specialist | 3702 Frankford Rd Apt 12303, Dallas, TX 75287-7808 | 2018-01-21 |
| 1841740404 | Surgical Associates of Dallas | Specialist | 621 N Hall St Ste 520, Dallas, TX 75226-1315 | 2016-10-07 |
| 1194198101 | Surepoint Emergency Physicians Denton, Pllc | Specialist | 5005 Lbj Fwy, Suite 1200, Dallas, TX 75244 | 2015-11-12 |
| 1316329071 | Southern Spine Institute Pllc | Specialist | 11970 N Central Expy Ste 450, Dallas, TX 75243-3787 | 2015-06-18 |
| 1760886345 | Wls Surgical Associates of North Texas Pllc | Specialist | 7777 Forest Ln Ste C400, Dallas, TX 75230-7516 | 2014-10-10 |
| 1952731804 | Aw Sleep Diagnostic Center Inc | Specialist | 13154 Coit Road, Suite 105, Dallas, TX 75240-5787 | 2013-11-13 |
| Find all providers in DALLAS | ||||
Please comment or provide details below to improve the information on TRACEY CLARK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.