Individual provider · Type 1 NPI

Claudette Vivienne Clark, MSN, RN, CPNP, IBCLC

Primary Care Clinic/Center · Fort Sam Houston, TX

NPI number 1053457135 Active

Practice location

3851 Roger Brooke Drive, Brooke Army Medical Center
Fort Sam Houston, TX 78234-6200

Call (210) 916-9233 Map

Mailing address

404 Dickman Rd
San Antonio, TX 78234-2604

Specialties and licenses

TaxonomyCodeLicense
Primary Care Clinic/Center Primary 261QP2300X1-059903 (AL)

Primary Care Clinic/Center: Definition to come...

30 other providers at this address

About NPI 1053457135

Claudette Vivienne Clark, MSN, RN, CPNP, IBCLC's National Provider Identifier is 1053457135, issued on Jan 29, 2007. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Fort Sam Houston, TX. The record was last updated on Jul 8, 2007.