Active NPI
Allen Clark IV
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Houston, TX
National Provider Identifier
1780505529
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Legal business name
- ALLEN CLARK IV
- Practice address
- 15947 Walnut Wood Dr
Houston, TX 77084-2911 - Phone
- (702) 515-9048
- Fax
- (702) 515-9048
- NPI assigned
- Jul 24, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Allen Clark IV
- Title
- Program Manager/Owner
- Phone
- (702) 515-9048
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | |||
| Community/Behavioral Health Agency | 251S00000X | |||
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | Primary |
Addresses
Primary practice location
15947 Walnut Wood Dr
Houston, TX 77084-2911
Mailing address
15947 Walnut Wood Dr
Houston, TX 77084-2911
Phone (702) 515-9048
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Houston, TX
- NPI 1558192252
Day Training, Developmentally Disabled Services
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1784851200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1784851200000",
"number": "1780505529",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15947 WALNUT WOOD DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770842911",
"telephone_number": "702-515-9048",
"fax_number": "702-515-9048"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15947 WALNUT WOOD DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770842911",
"telephone_number": "702-515-9048",
"fax_number": "702-515-9048"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALLEN CLARK IV",
"organizational_subpart": "NO",
"enumeration_date": "2026-07-24",
"last_updated": "2026-07-24",
"certification_date": "2026-07-24",
"status": "A",
"authorized_official_last_name": "CLARK",
"authorized_official_first_name": "ALLEN",
"authorized_official_title_or_position": "PROGRAM MANAGER/OWNER",
"authorized_official_telephone_number": "702-515-9048",
"authorized_official_name_suffix": "IV"
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
- Allegiant Hospice and Home Care Inc
- David George Alleman, MD
- Kimberly Dake Alleman, RN
- Allen Care, Inc
- Allen Chu MD PA (Houston Neurology & Sleep Diagnostic Center)
- Allen F. Gaw D.D.S., P.a.
- Allen H Chin OD a Professional Corporation (Dr. Allen H. Chin and Associates)
- Allen J. Panzer OD PA
- Allen W Brown (Brown Optical)
- Abimbola O Allen-Taylor, FNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.