MEDICARE: CLARITY EVALUATORS. LLC

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	111NI0013X	Independent Medical Examiner Chiropractor

General Provider Information

NPI Number	:	1073331799
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CLARITY EVALUATORS. LLC

Provider Business Mailing Address
First Line	:	1604 WIMBLETON DR
Second Line	:
City	:	BEDFORD
State	:	TX
Zip	:	76021-2472
Country	:	US
Telephone Number	:	817-996-9309
Fax Number	:	817-479-9720

Provider Business Practice Location Address
First Line	:	5583 DAVIS BLVD STE 400
Second Line	:
City	:	NORTH RICHLAND HILLS
State	:	TX
Zip	:	76180-6495
Country	:	US
Telephone Number	:	817-500-5770
Fax Number	:	817-659-2396

Authorized Official
Title or Position	:	OWNER
Name	:	REBECCA SUE RITCHIE
Credential	:	RN
Telephone Number	:	817-996-9309

Provider Enumeration Date	:	10/01/2024
Last Update Date	:	10/01/2024

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