Individual
MR. CLARENCE DALLAS TARP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
515 S 7TH ST, MCALESTER, OK 74501-5915
(870) 918-4460
Mailing address
3206 CALIENTE CT, #6184, ARLINGTON, TX 76017-2504
(870) 918-4460
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
COO447
AR
367500000X
Certified Registered Nurse Anesthetist
R28256
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103674701
—
AK
Enumeration date
05/12/2006
Last updated
05/22/2013
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