Search › Texas › 101YA0400X
Taj Clark, LCDC
NPI 1831308428 · on the registry since 2007 · sole proprietor
Practice
- Address
- 3130 Strawberry Rd
Suite C
Pasadena, TX 77504 - Phone
- (832) 984-1868
- Organisation at this address
- Diverse Recovery
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-05-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas