Organization
CLARK CHIROPRACTIC CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES WILLIAM KIRK D C (PRESIDENT/CEO)
(432) 337-5553
Entity
Organization
Contact information
Practice address
6301 EASTRIDGE RD, ODESSA, TX 79762-5045
(432) 337-5553
(432) 337-6183
Mailing address
6301 EASTRIDGE RD, ODESSA, TX 79762-5045
(432) 337-5553
(432) 337-6183
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
2256
TX
111N00000X
Chiropractor
Primary
5928
TX
111N00000X
Chiropractor
7347
TX
111N00000X
Chiropractor
8532
TX
Other
Enumeration date
11/12/2008
Last updated
11/12/2008
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