Individual provider · Type 1 NPI

Timiera Clark, OWNER

Attendant Care Provider · Fort Worth, TX

NPI number 1093360802 Active

Practice location

5601 Bridge St Ste 300
Fort Worth, TX 76112-2355

Specialties and licenses

TaxonomyCodeLicense
Attendant Care Provider Primary 3747A0650X019428 (TX)

Attendant Care Provider: An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.

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About NPI 1093360802

Timiera Clark, OWNER's National Provider Identifier is 1093360802, issued on Aug 8, 2019. The primary taxonomy on file is Attendant Care Provider (3747A0650X), and the practice location is in Fort Worth, TX. The record was last updated on Aug 8, 2019.