DR. TRACY MANNING CLARK (NPI# 1952793051) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952793051 |
| Entity Type | Individual |
| Full Name | DR. TRACY MANNING CLARK |
| Credential | D.D. S. |
| Practice Address |
1500 S Dairy Ashford Rd Ste. 114 Houston TX 77077-3854 |
| Practice Telephone | 2815583440 |
| Practice Fax Number | 2815583448 |
| Mailing Telephone | 2815583440 |
| Mailing Fax Number | 2815583448 |
| Enumeration Date | 2015-02-26 |
| Last Update Date | 2015-02-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
15603 | TX | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DENTAL | 760367302 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013386085 | Tracy Ann Clark | Hearing Instrument Specialist | 3389 W Woolbright Rd, Suite A, Boynton Beach, FL 33436-7245 | 2015-09-21 |
| 1528463593 | Tracy Clark | Speech-Language Pathologist | 6000 Youngstown-warren Rd, Tcesc, Niles, OH 44446 | 2014-11-03 |
| 1366771750 | Tracy Lynn Clark | Licensed Practical Nurse | 2 Backus St, Rochester, NY 14608 | 2009-12-14 |
| 1831103522 | Tracy Clark | Social Worker | 50 Cypress Dr, Glenville, NY 12302-4344 | 2006-07-28 |
| 1104387687 | Tracy Clark Jr. | Behavior Technician | 21600 Oxnard St Ste 1030, Woodland Hills, CA 91367-5085 | 2019-03-27 |
| 1174011670 | Tracy Clark | Behavior Technician | 3160 Crow Canyon Pl Ste 205, San Ramon, CA 94583-1338 | 2018-04-30 |
| 1356856801 | Tracy Michelle Clark | Social Worker | 430 Niagara St, Buffalo, NY 14201-1886 | 2017-12-06 |
| 1477907368 | Tracy Clark | Counselor | 1406 Esplanade Ave, New Orleans, LA 70116-1803 | 2016-04-18 |
| 1922433473 | Tracy Sue Clark | Pharmacist | 7425 Wrigley Dr, Ste 104, Pasco, WA 99301-5292 | 2013-09-03 |
| 1770883977 | Tracy Ann Clark | Nurse Anesthetist, Certified Registered | 232 S Woods Mill Rd, Chesterfield, MO 63017-3417 | 2010-10-22 |
| Street Address |
1500 S DAIRY ASHFORD RD STE. 114 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77077-3854 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003232182 | Angiema Personal Care Services, Inc. | In Home Supportive Care | 1500 S Dairy Ashford Rd, Suite 242, Houston, TX 77077-3854 | 2014-03-12 |
| 1205244126 | Armando Mejia | Dentist | 1500 S Dairy Ashford Rd, Suite 114, Houston, TX 77077-3854 | 2014-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407457922 | Tam Minh Ha | Pharmacist | 2700 S Kirkwood, Houston, TX 77077 | 2020-11-02 |
| 1497396881 | Laboratory Concepts | Technician, Pathology | 2025 Gentryside Dr, Houston, TX 77077 | 2019-10-07 |
| 1447730940 | Olufunke O'banion | Registered Nurse | 1011 South Texas 6, Suite 311, Houston, TX 77077 | 2018-08-15 |
| 1548753536 | Jasmine M Mckenzie | Specialist | 12350 Westhemier Rd, Suite 128, Houston, TX 77077 | 2018-06-13 |
| 1396233698 | Waabeke Charlotte Nwikpo | Counselor | 1919 S Kirkwood Rd Apt 144, Houston, TX 77077 | 2018-04-23 |
| 1447747894 | Westside Medical Centers of Texas Pllc | Chiropractor | 1137 Highway 6 South, Houston, TX 77077 | 2018-04-20 |
| 1649786427 | Medical Care Innovation, P.C. | Clinic/Center | 1254 Enclave Parkway, Houston, TX 77077 | 2017-12-16 |
| 1194242545 | Lydia Danielle Breedlove | Specialist/Technologist | 12310 Rincon Drive, Houston, TX 77077 | 2017-08-26 |
| 1649602962 | Bereket Haileab Tsegai | Optometrist | 11660 Westheimer Rd Ste 125, Houston, TX 77077 | 2013-08-09 |
| 1851733273 | Tomekia Alvarez | Occupational Therapy Assistant | 1815 Enclave Parkway, Apt 6307, Houston, TX 77077 | 2013-07-26 |
| Find all providers in zip 77077 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982233318 | Patency Capital LLC | Dentist | 1050 Yale St Ste 210, Houston, TX 77008-2831 | 2020-04-07 |
| 1184288805 | Gabriella Postalian-rizzo | Dentist | 4126 Southwest Freeway, Suite 1040, Houston, TX 77027 | 2019-04-29 |
| 1093297798 | Endodontic Associates of Houston, Pllc | Dentist | 7500 Beechnut St Ste 235, Houston, TX 77074-4336 | 2018-08-30 |
| 1699270199 | Jing Guo | Dentist | 5020 Cypress Creek Pkwy Ste B1, Houston, TX 77069-4521 | 2018-03-27 |
| 1780196253 | Ji Wook Jeong | Dentist | 7500 Cambridge St Ste 6400, Houston, TX 77054-2032 | 2017-10-24 |
| 1427574730 | Leticia Chaves De Souza | Dentist | 7550 Kirby Dr Apt 133, Houston, TX 77030-4364 | 2017-08-17 |
| 1356866917 | Bita Shakiba | Dentist | 1200 Post Oak Blvd Apt 2612, Houston, TX 77056-3263 | 2017-08-04 |
| 1740722628 | Maria Fernanda Messing | Dentist | 5655 Locke Ln, Houston, TX 77056-4024 | 2016-11-09 |
| 1194273490 | Yashika Pande | Dentist | 6137 Kirby Dr., Houston, TX 77005 | 2016-09-14 |
| 1265832992 | Nima Damon Sarmast | Dentist | 7500 Cambridge St Ste 6427, Uthealth School of Dentistry, Houston, TX 77054-2032 | 2014-08-29 |
| Find all providers in HOUSTON | ||||
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| 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.