Individual
TRACY M CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
3409 WORTH ST, 725, DALLAS, TX 75246-2029
(214) 276-5616
Mailing address
254 E OATES RD APT 101, GARLAND, TX 75043-3454
(469) 648-8444
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
119588
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
119588
TEXAS STATE BOARD OF PHARMACY
TX
01
—
170109717629639
PHARMACY TECHNICIAN CERTIFICATION BOARD
TX
Enumeration date
04/10/2007
Last updated
02/08/2016
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