CLARK CHIROPRACTIC CLINIC


Address: 6301 Eastridge Rd, Odessa, TX 79762-5045
Phone: 4323375553

CLARK CHIROPRACTIC CLINIC (NPI# 1952555211) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1952555211
Entity Type Organization
Organization Name CLARK CHIROPRACTIC CLINIC
Practice Address 6301 Eastridge Rd
Odessa
TX 79762-5045
Practice Telephone 4323375553
Practice Fax Number 4323376183
Mailing Telephone 4323375553
Mailing Fax Number 4323376183
Enumeration Date 2008-11-12
Last Update Date 2008-11-12
Authorized Official Name MR. JAMES WILLIAM KIRK (PRESIDENT/CEO)
Authorized Official Telephone 4323375553
Authorized Official Credential D C
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 111N00000X Chiropractor 8532 TX Chiropractic Providers
N 111N00000X Chiropractor 7347 TX Chiropractic Providers
N 111N00000X Chiropractor 2256 TX Chiropractic Providers
Y 111N00000X Chiropractor 5928 TX Chiropractic Providers

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1447798830 Clark Chiropractic Clinic Chiropractor 17422 108th Ave Se, Renton, WA 98055-5400 2017-02-06

Office Location

Street Address 6301 EASTRIDGE RD
City ODESSA
State TX
Zip Code 79762-5045

Providers in the same location

NPI Name Taxonomy Address Enumeration
1609226042 Jordan Elizabeth Brown Chiropractor 6301 Eastridge Rd, Odessa, TX 79762-5045 2016-06-16
1356583843 Michael C Terry Chiropractor 6301 Eastridge Rd, Odessa, TX 79762-5045 2009-03-30

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982256798 Winwood Dental and Orthodontics Pllc Dentist 3913 E 42nd Street, Odessa, TX 79762 2019-07-11
1265995716 Ryan Daniels Specialist/Technologist 4901 E University, Gym 111, Odessa, TX 79762 2019-04-11
1215429592 Michael Wayne Samp Respiratory Therapist, Registered 2807 Windsor Dr, Odessa, TX 79762 2018-06-03
1972003663 Kristi Young Registered Nurse 3800 E. 42nd St., Suite 203 Attn: Pediatric Dept, Odessa, TX 79762 2018-02-19
1427508902 Whitney Diakur Optometrist 5011 E. 42nd St, Odessa, TX 79762 2016-10-10
1295184927 Farqad Kamal Abuoudeh Dentist 6109 Tx-191 Frontage, Odessa, TX 79762 2016-06-03
1457714180 Daniel & Max, LLC Optometrist 5011 E. 42nd Street, Odessa, TX 79762 2016-03-31
1407225774 Neri Campos-gardea Massage Therapist 3952 E 42d, Odessa, TX 79762 2015-09-17
1508255886 Permian Er IIi Clinic/Center 6131 East Highway 191, Odessa, TX 79762 2015-01-09
1548675861 Tina Desai Dentist 6109 Texas 191, Odessa, TX 79762 2014-06-25
Find all providers in zip 79762

Taxonomy Information

Taxonomy Code 111N00000X
Grouping Chiropractic Providers
Classification Chiropractor

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1174148050 100 Percent Chiropractic Ronmartin LLC Chiropractor 15989 Preserve Marketplace Blvd, Odessa, FL 33556-5509 2020-06-16
1366741134 Christopher D Cummins Chiropractor 8615 Andrews Hwy, Odessa, TX 79765-2834 2011-03-19
1215234414 Mason Ryan Steen Chiropractor 3110 E. University, Suite B, Odessa, TX 79762 2011-02-24
1356642102 Ronald Bernard Martin Jr. Chiropractor 15993 Preserve Marketplace Blvd, Odessa, FL 33556-5509 2010-11-10
1790914620 Michele Gene Munoz Chiropractor 8050 E Highway 191 Ste 202, Odessa, TX 79765-8615 2009-07-13
1831375781 Defrance, Inc. Chiropractor 3110 E University Blvd Ste B, Odessa, TX 79762-6955 2008-01-10
1013139153 The Ftb Group, Inc. Chiropractor 421 N 1st St, Suite C, Odessa, MO 64076-5242 2007-05-02
1659406502 Odessa Chiropractic Association, P.a. Chiropractor 1607 E 8th St, Odessa, TX 79761-4806 2007-02-22
1619012366 Gerald Ray Beaty Chiropractor 2100 N Grandview, Odessa, TX 79761 2007-02-20
1700931805 Mark D Mehaffey Chiropractor 1020 N Grandview Ave, Odessa, TX 79761 2007-01-25
Find all providers in ODESSA

Competitor

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City ODESSA
Zip Code 79762

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Dataset Information

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.

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