Christopher Joseph Clary, LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

229924 Issued in TX

Practice address

2301 Buck Dr
Tyler, TX 75701-2407

Phone

(903) 279-2060

NPI assigned

Feb 16, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

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": "1518739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518739200000",
    "number": "1891295721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 BUCK DR",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757012407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 BUCK DR",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757012407",
            "telephone_number": "903-279-2060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARY",
        "first_name": "CHRISTOPHER",
        "middle_name": "JOSEPH",
        "credential": "LVN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-02-16",
        "last_updated": "2018-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "229924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Clark, MS, RD, LD, CNSC
• Miranda Clark
• Mitchell Lee Clark, MD
• Timothy Michael Clark, CRNA
• Robert Brooks Clarke, PA
• Jennifer Claunch
• Clay D Cannon, DDS, PLLC
• Sharon L Claypool, M.D.
• Clear Path Pediatric Speech Therapy PLLC
• Allison Dawn Clements, PA

• Licensed Vocational Nurse in Tyler, TX
• Providers in Tyler, TX by specialty
• Licensed Vocational Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2018; 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.