MEDICARE: TRACY M. CLARK DDS INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223E0200X	Endodontics	15603	TX

General Provider Information

NPI Number	:	1295889863
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRACY M. CLARK DDS INC

Provider Business Mailing Address
First Line	:	1500 S DAIRY ASHFORD ST
Second Line	:	1500 SOUTH DAIRY ASHFORD STE. 114
City	:	HOUSTON
State	:	TX
Zip	:	77077-3854
Country	:	US
Telephone Number	:	281-558-3440
Fax Number	:	281-558-3448

Provider Business Practice Location Address
First Line	:	1500 S DAIRY ASHFORD ST
Second Line	:	1500 SOUTH DAIRY ASHFORD STE. 114
City	:	HOUSTON
State	:	TX
Zip	:	77077-3854
Country	:	US
Telephone Number	:	281-558-3440
Fax Number	:	281-558-3448

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. TRACY MANNING CLARK
Credential	:	D.D.S.
Telephone Number	:	281-558-3440

Provider Enumeration Date	:	01/22/2007
Last Update Date	:	08/22/2020

Similar Medicare Providers

1538161815 — OMID SOLTANI PMHNP-BC, RN
Practice Location Address:

1500 S DAIRY ASHFORD RD
HOUSTON, TX
77077-3854

Practice Phone: 281-208-7414
Practice Fax:

1891734356 — DR. WILLIAM A. WALKER III D.D.S.
Practice Location Address:

1500 S DAIRY ASHFORD ST , SUITE 114
HOUSTON, TX
77077-3854

Practice Phone: 281-558-3440
Practice Fax:

1174749071 — ROBERT LAMBETH D.C.
Practice Location Address:

1500 S DAIRY ASHFORD ST
HOUSTON, TX
77077-3854

Practice Phone: 281-497-5577
Practice Fax:

1124246608 — LAMBETH FAMILY CHIROPRACTIC
Practice Location Address:

1500 S DAIRY ASHFORD ST , SUITE 225
HOUSTON, TX
77077-3854

Practice Phone: 281-497-5577
Practice Fax: 281-533-0032

1649576620 — MRS. JANIE S. GATLIN M. ED., LPC
Practice Location Address:

1500 S DAIRY ASHFORD ST , SUITE 452
HOUSTON, TX
77077-3854

Practice Phone: 713-857-8577
Practice Fax:

1003232182 — ANGIEMA PERSONAL CARE SERVICES, INC.
Practice Location Address:

1500 S DAIRY ASHFORD RD , SUITE 242
HOUSTON, TX
77077-3854

Practice Phone: 832-755-4686
Practice Fax: 281-556-5546

Directions to “TRACY M. CLARK DDS INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.