Individual
DR. TRACY MANNING CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D. S.
Contact information
Practice address
1500 S DAIRY ASHFORD RD, STE. 114, HOUSTON, TX 77077-3854
(281) 558-3440
(281) 558-3448
Mailing address
1500 S DAIRY ASHFORD RD, STE. 114, HOUSTON, TX 77077-3854
(281) 558-3440
(281) 558-3448
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
15603
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
760367302
DENTAL
—
Enumeration date
02/26/2015
Last updated
02/26/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us