Provider Demographics
NPI:1306046446
Name:CLEARFIELD, DANIEL ADAM (DO)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:ADAM
Last Name:CLEARFIELD
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7500 DAVIS BLVD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:NORTH RICHLAND HILLS
Mailing Address - State:TX
Mailing Address - Zip Code:76182-7402
Mailing Address - Country:US
Mailing Address - Phone:817-900-3539
Mailing Address - Fax:817-900-3549
Practice Address - Street 1:7500 DAVIS BLVD
Practice Address - Street 2:SUITE 200
Practice Address - City:NORTH RICHLAND HILLS
Practice Address - State:TX
Practice Address - Zip Code:76182-7402
Practice Address - Country:US
Practice Address - Phone:817-900-3539
Practice Address - Fax:817-900-3549
Is Sole Proprietor?:No
Enumeration Date:2007-07-18
Last Update Date:2020-09-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH009582207QS0010X
TXP0185207QS0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QS0010XAllopathic & Osteopathic PhysiciansFamily MedicineSports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX060009788OtherRAILROAD MEDICARE
TX288904001Medicaid
TX8XC862OtherBCBS
TX060009788OtherRAILROAD MEDICARE