TRACY M CLARK (NPI# 1992928097) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992928097 |
| Entity Type | Individual |
| Full Name | TRACY M CLARK |
| Credential | CPHT |
| Practice Address |
3409 Worth St 725 Dallas TX 75246-2029 |
| Mailing Address |
254 E Oates Rd Apt 101 Garland TX 75043-3454 |
| Practice Telephone | 2142765616 |
| Mailing Telephone | 4696488444 |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2016-02-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183700000X | Pharmacy Technician | 119588 | TX | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | TEXAS STATE BOARD OF PHARMACY | 119588 | 01 |
| TX | PHARMACY TECHNICIAN CERTIFICATION BOARD | 170109717629639 | 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 |
| 1952793051 | Tracy Manning Clark | Dentist | 1500 S Dairy Ashford Rd, Ste. 114, Houston, TX 77077-3854 | 2015-02-26 |
| 1922433473 | Tracy Sue Clark | Pharmacist | 7425 Wrigley Dr, Ste 104, Pasco, WA 99301-5292 | 2013-09-03 |
| Street Address |
3409 WORTH ST 725 |
| City | DALLAS |
| State | TX |
| Zip Code | 75246-2029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316941123 | Walter Russell Peters Jr. | Surgery | 3409 Worth St, Worth Tower, Suite 640, Dallas, TX 75246-2029 | 2005-06-09 |
| 1528507951 | John Mitchell | Pharmacist | 3409 Worth St, Suite 725, Dallas, TX 75246-2029 | 2017-02-17 |
| 1992259931 | Leonor Sosa | Nurse Practitioner | 3409 Worth St, Suite 600, Dallas, TX 75246-2029 | 2016-08-08 |
| 1861870081 | Clayton Bates | Specialist/Technologist, Other | 3409 Worth St, Ste 725, Dallas, TX 75246-2029 | 2015-05-07 |
| 1457789265 | Texas Spine Consultants, LLP | Pain Medicine | 3409 Worth St, Suite 510, Dallas, TX 75246-2029 | 2013-10-15 |
| 1336572494 | Tammara J Verduin | Specialist/Technologist, Other | 3409 Worth St, Suite 630, Dallas, TX 75246-2029 | 2013-08-13 |
| 1669796322 | Katerina Olivia Kimonis Wells | Colon & Rectal Surgery | 3409 Worth St, Suite 500, Dallas, TX 75246-2029 | 2010-03-23 |
| 1871733188 | Clinton Christopher Haley | Internal Medicine | 3409 Worth St, Suite 710, Dallas, TX 75246-2029 | 2009-02-26 |
| 1356512370 | David E Morales M D P A | Specialist | 3409 Worth St, Suite 630, Dallas, TX 75246-2025 | 2008-03-18 |
| 1154592186 | William M Carpenter Md Pa | Specialist | 3409 Worth St, Suite 630, Dallas, TX 75246-2025 | 2008-03-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396201356 | Roseann Estrada Mendoza | Nurse Practitioner | 3600 Gaston Ave., Barnett Tower, Suite 711, Dallas, TX 75246 | 2019-02-14 |
| 1033683701 | Marta Revilla-leon | Dentist | 3302 Gaston Avenue, College of Dentistry, Texas A&m Uni, Room 713, Dallas, TX 75246 | 2019-01-16 |
| 1912408170 | Liza Johannesson | Transplant Surgery | Baylor University Medical Center, 3410 Worth Street, Ste 950, Dallas, TX 75246 | 2018-02-23 |
| 1841710266 | Stephanie Chartier-plante | Student in an Organized Health Care Education/Training Program | 3501 Junius St, Jonsson Hospital, Dallas, TX 75246 | 2017-06-27 |
| 1528505096 | Adam Bohnenblust | Chiropractor | 411 N Washington Ave Ste 2200, Dallas, TX 75246 | 2017-01-23 |
| 1699121327 | Magnolia Pain Associates Pllc | Pain Medicine | 3801 Gaston Ave Ste 318- 320, Dallas, TX 75246 | 2016-05-12 |
| 1073969408 | Apurva Yeluru | Hospitalist | 3500 Gaston Ave Ste 550, Dallas, TX 75246 | 2016-05-04 |
| 1134580533 | Sp Alf Ops Co, LLC | Assisted Living Facility | 3922 Simpson Street, Dallas, TX 75246 | 2016-03-11 |
| 1386031185 | Lisa Voigt | Student in an Organized Health Care Education/Training Program | 3501 Junius Street, Dallas, TX 75246 | 2015-04-20 |
| 1891107843 | Jessica Shie | Internal Medicine | Baylor Scott & White - Hospital Medicine Dallas, 3600 Gaston Ave., Wadley #550, Dallas, TX 75246 | 2014-05-27 |
| Find all providers in zip 75246 | ||||
| Taxonomy Code | 183700000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacy Technician |
| A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist. |
| Notes: Source: Pharmacy Technician Certification Board, www.ptcb.org [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952504649 | Frances Jo Michele Caffey | Pharmacy Technician | 1430 Regal Row, Suite 340, Dallas, TX 75247-3625 | 2007-06-08 |
| 1528562634 | Matthew Darnell Gardner | Pharmacy Technician | 4500 S Lancaster Rd, Dallas, TX 75216-7167 | 2018-03-22 |
| 1609133404 | Justin Sokol | Pharmacy Technician | 6770 Abrams Rd, Dallas, TX 75231-7115 | 2012-04-18 |
| 1396961769 | Erin H. Powell | Pharmacy Technician | 3409 Worth St, Ste 725, Dallas, TX 75246-2029 | 2007-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942800842 | Arsalan Ahmed | Pharmacy Technician | 1801 Addington Dr, Carrollton, TX 75007-3009 | 2020-10-29 |
| 1104433119 | Waleska Sanchez Ojeda | Pharmacy Technician | 1902 Windward Dr Apt D, Killeen, TX 76543-8900 | 2020-09-24 |
| 1093334369 | Jose De Jesus Arellano Delgadillo | Pharmacy Technician | 3810 Hatwig Flds, Converse, TX 78109-3583 | 2020-04-15 |
| 1346879921 | Wendy Sue Willoughby | Pharmacy Technician | 201 Us Hwy 59, Atlanta, TX 75551 | 2020-04-06 |
| 1669007480 | Ursula Henry | Pharmacy Technician | 2656 S Loop W Ste 255, Houston, TX 77054-2698 | 2020-03-12 |
| 1861024341 | Kaytlynn Flowers | Pharmacy Technician | 514 South Oklahoma Cutoff, Burkburnett, TX 76354 | 2020-02-12 |
| 1275164881 | Trevor William Price | Pharmacy Technician | 401 W 39th St Apt 210, Austin, TX 78751-4928 | 2020-02-01 |
| 1760013619 | Fabrice Lionel Pougoue Ngomsi | Pharmacy Technician | 12041 Dessau Rd Apt 2309, Austin, TX 78754-1729 | 2020-01-30 |
| 1841821766 | Paige Alana Travillion | Pharmacy Technician | 1521 Augusta Bend Dr, Hutto, TX 78634-5274 | 2020-01-29 |
| 1790316693 | Anuki Rukshani Weerakoon-wijeratne | Pharmacy Technician | 16605 Southwest Fwy Mob3, Ste 100, Sugar Land, TX 77479 | 2020-01-29 |
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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.