Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207QS0010X | Family Doctor - Sports Medicine | 009582 | OH |
Y | 207QS0010X | Family Doctor - Sports Medicine | P0185 | TX |
NPI | 1306046446 |
---|---|
Provider Name | Dr. Daniel Adam Clearfield |
First Address | North Richland Hills, TX 76182-7402 |
Second Address | North Richland Hills, TX 76182-7402 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/07/2007 |
Last Update Date | 10/09/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
060009788 | RAILROAD MEDICARE (01) | TX |
288904001 | (05) | TX |
8XC862 | BCBS (01) | TX |