Clark, Taj Jamal
Clark, Taj Jamal is an sole proprietor health care provider with primary practice located at 3130 Strawberry Rd Suite C, Pasadena TX 77504-1767. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Clark, Taj Jamal can be contacted via phone (832) 984-1868.Contact Information
Primary practice address
3130 Strawberry Rd Suite C
Pasadena TX 77504-1767
Phone: (832) 984-1868
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 9946 | Texas |
Profile Details
| NPI number | 1831308428 |
|---|---|
| LBN Legal business name | Clark, Taj Jamal |
| Credentials | LCDC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 21st, 2007 |
| Last updated | May 11th, 2011 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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