Organization
ROGER CLARK HEARING CENTERS
Active
Other names
roger clark hearing centers
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROGER DALE CLARK HIS (OWNER)
(806) 317-9033
Entity
Organization
Contact information
Practice address
4555 E UNIVERSITY BLVD STE C7, ODESSA, TX 79762-8137
(432) 444-5200
Mailing address
4555 E UNIVERSITY BLVD STE C7, ODESSA, TX 79762-8137
(432) 444-5200
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
80214
HEARING INSTRUMENT SPECIALIST
TX
01
—
80241
HEARING INSTRUMENT SPECIALIST
TX
Enumeration date
01/25/2022
Last updated
01/25/2022
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