Jeffrey S Clark, D.C.
Individual provider Active NPI Chiropractor · Buda, TX
NPI 1912285495 · NPPES record last updated Feb 27, 2017
Key facts
- NPI
- 1912285495
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 11706 (TX)
- Practice address
- 203 Railroad St Ste 3C
Buda, TX 78610-3437 - Phone
- (512) 295-4443
- NPI assigned
- Aug 1, 2011
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 11706 | TX | Yes |
Addresses
Primary practice location
203 Railroad St Ste 3C
Buda, TX 78610-3437
Mailing address
203 Railroad St
Ste 3C
Buda, TX 78610-3437
Other providers in Buda, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 27, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.