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NPI Code Detail

MEDICARE: CLARKE DAVIS

MEDICARE:   CLARKE  DAVIS
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
1106S00000XBehavior Technician22233781TX

General Provider Information

NPI Number : 1588447437
Entity Type Code : Individual
Provider Name (Legal Business Name) : CLARKE DAVIS
Provider Business Mailing Address
First Line : 8808 SADDLEHORN DR
Second Line :
City : IRVING
State : TX
Zip : 75063-4565
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 500 HOUSTON ST
Second Line :
City : ARLINGTON
State : TX
Zip : 76011-7429
Country : US
Telephone Number : 817-861-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2023
Last Update Date : 08/15/2023

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Directions to “ CLARKE DAVIS ” Practice Location

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