Thomas R Clark, DC, CCSP, PA

NPI #1487877213 in Amarillo, Texas

Provider Information

NPI Number: 1487877213
Entity Type: Individual
Name: Thomas R Clark, DC, CCSP, PA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Chiropractor
Credential: DC, CCSP, PA
Enumeration Date: Apr 10, 2007
Last Updated: Jul 9, 2007

Practice Location

Address: 2418 W 9TH AVE
City: Amarillo
State: Texas
ZIP Code: 79106-6620
Phone: (806) 372-3361

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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