Provider Demographics
NPI:1770124851
Name:CLAVW
Entity type:Organization
Organization Name:CLAVW
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPINE SURGEON
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:HAPP
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:817-707-0200
Mailing Address - Street 1:PO BOX 735015
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75373-5015
Mailing Address - Country:US
Mailing Address - Phone:214-865-6310
Mailing Address - Fax:
Practice Address - Street 1:6930 HARRIS PKWY STE 130
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76132-4272
Practice Address - Country:US
Practice Address - Phone:214-865-6310
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-30
Last Update Date:2021-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the SpineGroup - Single Specialty