Provider Demographics
NPI:1235578113
Name:CLOVER SYSTEMS LLC
Entity Type:Organization
Organization Name:CLOVER SYSTEMS LLC
Other - Org Name:DENTON DIAGNOSTICS & REHAB
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DC
Authorized Official - Prefix:DR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:DARNER
Authorized Official - Suffix:
Authorized Official - Credentials:DC, FASA
Authorized Official - Phone:214-227-2300
Mailing Address - Street 1:2530 LIBERTY LN
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76209-1541
Mailing Address - Country:US
Mailing Address - Phone:214-227-2300
Mailing Address - Fax:214-224-0835
Practice Address - Street 1:721 S INTERSTATE 35 E
Practice Address - Street 2:SUITE #140
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76205-8153
Practice Address - Country:US
Practice Address - Phone:940-239-9202
Practice Address - Fax:214-224-0835
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-24
Last Update Date:2013-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX5958111NN0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NN0400XChiropractic ProvidersChiropractorNeurologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1275830408OtherNPI ( INDIVIDUAL ) DR MARK DARNER DC