ROGER DALE CLARK HIS NPI 1992976542

NPI Information

NPI: 1992976542
Provider Name: ROGER DALE CLARK, HIS
Classification: Hearing Instrument Specialist - 237700000X
Entity Type: Individual
Address:
4555 E UNIVERSITY BLVD STE C7
ODESSA, TX
ZIP 79762
Phone: (432) 444-5200
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Roger Dale Clark, HIS is a hearing instrument specialist in Odessa, TX. The provider is individuals who test hearing for the selection, adaptation, fitting, adjusting, servicing, and sale of hearing aids. Hearing Instrument Specialist is a designation provided individuals who qualify by the National Hearing Aid Society Roger Dale Clark, HIS NPI is 1992976542. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4555 E UNIVERSITY BLVD STE C7
ODESSA, TX
ZIP 79762-137
Phone: (432) 444-5200

The enumeration date for this NPI number is 3/21/2008 and was last updated on 1/14/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	237700000X	Hearing Instrument Specialist		80241	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	07386906	OTHER	TEXAS	DRIVERS LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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