Individual provider · Type 1 NPI

Adrian Clark, DO

Military Health Care Provider · Fort Bliss, TX

NPI number 1649964487 Active

Practice location

18511 Highlander Medics St
Fort Bliss, TX 79906-5327

Call (915) 742-7777 Map

Specialties and licenses

TaxonomyCodeLicense
Military Health Care Provider Primary 171000000X0102208814 (VA)

Military Health Care Provider: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

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About NPI 1649964487

Adrian Clark, DO's National Provider Identifier is 1649964487, issued on Jun 5, 2023. The primary taxonomy on file is Military Health Care Provider (171000000X), and the practice location is in Fort Bliss, TX. The record was last updated on Oct 30, 2024.