Provider Demographics
NPI:1639318017
Name:CLARKSON, OZIAS
Entity Type:Individual
Prefix:MR
First Name:OZIAS
Middle Name:
Last Name:CLARKSON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:112 ELMWOOD DR
Mailing Address - Street 2:
Mailing Address - City:RED OAK
Mailing Address - State:TX
Mailing Address - Zip Code:75154-1412
Mailing Address - Country:US
Mailing Address - Phone:972-217-2241
Mailing Address - Fax:972-217-2241
Practice Address - Street 1:112 ELMWOOD DR
Practice Address - Street 2:
Practice Address - City:RED OAK
Practice Address - State:TX
Practice Address - Zip Code:75154-1412
Practice Address - Country:US
Practice Address - Phone:972-217-2241
Practice Address - Fax:972-217-2241
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-09
Last Update Date:2009-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies