CLARK CHIROPRACTIC CLINIC
Chiropractic at Eastridge Rd, Odessa, TX

License number
Texas 5928
Category
Chiropractic
Type
Chiropractor
License number
Texas 2256
Category
Chiropractic
Type
Chiropractor
License number
Texas 7347
Category
Chiropractic
Type
Chiropractor
License number
Texas 8532
Category
Chiropractic
Type
Chiropractor
Owner
Name: MR. JAMES WILLIAM KIRK D C
Title: PRESIDENT/CEO
Phone: (432) 337-5553
Address
Address
6301 Eastridge Rd, Odessa, TX 79762
National Provider ID: 1952555211
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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CLARK CHIROPRACTIC CLINIC, PROFESSIONAL CORPORATIO

Odessa, TX

Doing business as:
Clark Chiropractic Clinic, Professional Corporation<br>Clark Chiropractic Clinic PC<br>Clark Chiropractic Clinic - Bobby R Richter DC<br>Clark Chiropractic Clinic
Registration:
Jul 21, 1976
Phone:
(432) 337-5553 (Phone), (432) 337-6130 (Phone), (432) 337-6183 (Fax)
Addresses:
6301 Eastridge Rd, Odessa, TX 79762 (Mailing)
2458 E 11 St, Odessa, TX 79761
State ID:
0090211402
Business type:
Domestic Professional Corporation
PRESIDENT, Secretary, Treasurer, Vice President, President, Chief Executive Officer:
James Kirk (PRESIDENT, Secretary, Treasurer, Vice President, President, Chief Executive Officer), 6301 Eastridge, Odessa, TX 79762
Agent:
James W Kirk,2458 E 11, Odessa, TX 79761 (Physical)
TIN:
17515171837

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