Tamera D Clark, ND, SLP

Primary specialty

NaturopathTaxonomy code 175F00000X

Practice address

1116 Glade Rd Ste 102
Colleyville, TX 76034-4381

Phone

(682) 738-6543

Fax

(817) 549-6368

NPI assigned

Jul 30, 2007

Last updated

Aug 16, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1185753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723766400000",
    "number": "1881884443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1116 GLADE RD STE 102",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760344381",
            "telephone_number": "817-381-6637",
            "fax_number": "817-549-6368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1116 GLADE RD STE 102",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760344381",
            "telephone_number": "682-738-6543",
            "fax_number": "817-549-6368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "TAMERA",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "ND, SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-30",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "101962",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher L Tye MD DDS PA
• Christopher M. King, DDS, MD, PLLC (Mid Cities Oral & Maxillofacial Surgery)
• City of Colleyville (Colleyville Fire Department)
• Susan M Cizmas, MA, LPC
• Chelsey Clark
• Tara Lowe Clark, MD
• Kimberly Coffee, AGPCNP
• Colin Tkachuk (Optimum Chiropractic and Wellness Center)
• Collaborative Counselor Enterprises, PLLC
• Collaborative Wellness Center LLC

• Naturopath in Colleyville, TX
• Providers in Colleyville, TX by specialty
• Naturopath in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.