person
Roger Dale Clark, HIS
Hearing Instrument Specialist in Odessa, Texas
NPI 1992976542

Roger Dale Clark is a Hearing Instrument Specialist based in Odessa, TX. Roger Dale Clark practices in Odessa, TX and has the professional credentials of HIS. The NPI Number for Roger Dale Clark is 1992976542 and holds a License No. 80241 (Texas).

The current practice location address for Roger Dale Clark is 4555 E University Blvd Ste C7, Odessa, TX and can be reached out via phone at 432-444-5200.

Location: 4555 E University Blvd Ste C7, Odessa, TX, 79762-8137
person
Provider Profile Details
NPI Number
1992976542
Provider Name
Roger Dale Clark
Credential
HIS
Provider Entity Type
Individual
Gender
Male
Address
4555 E University Blvd Ste C7, Odessa, TX, 79762-8137
Phone Number
432-444-5200
Fax Number
Provider Enumeration Date
03/21/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
07386906 01 TX DRIVERS LICENSE
institution
Provider Business Practice Location Address Details
Address
4555 E University Blvd Ste C7
City
State
Zip
79762-8137
Phone Number
432-444-5200
Fax Number
person
Provider Business Mailing Address Details
Address
4555 E University Blvd Ste C7
City
State
Zip
79762-8137
Phone Number
432-444-5200
Fax Number
person
Provider's Taxonomy Details 1
Type
Speech, Language and Hearing Service Providers
Classification
Hearing Instrument Specialist
Speciality
-
Taxonomy
License No.
80241 (Texas)
Definition
Individuals who test hearing for the selection, adaptation, fitting, adjusting, servicing, and sale of hearing aids. Hearing Instrument Specialist is a designation provided individuals who qualify by the National Hearing Aid Society
semi-verified symbol
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